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A comparison of privileged access interviewing and traditional interviewing methods when studying drug users in treatment

Johnson, Björn LU orcid and Richert, Torkel (2016) In Addiction Research and Theory 24(5). p.406-415
Abstract
Aims: Privileged access interviewing (PAI) has traditionally been used to reach illicit drug users and other ‘hidden’ populations. How PAI data compare to other self-reported data have seldom been discussed. We compare data from patients in opioid substitution treatment (OST), gathered through PAI and researcher interviews, respectively, to investigate whether PAIs and researchers are reaching comparable populations, and whether differences in answers are due to the sensitive nature of the questions. Methods: Structured interviews were conducted with 368 patients from nine OST clinics in three Swedish cities. 237 interviews were carried out by researchers, and 131 by nine PAIs (OST patients). Data were analyzed with χ2 test, Fisher’s exact... (More)
Aims: Privileged access interviewing (PAI) has traditionally been used to reach illicit drug users and other ‘hidden’ populations. How PAI data compare to other self-reported data have seldom been discussed. We compare data from patients in opioid substitution treatment (OST), gathered through PAI and researcher interviews, respectively, to investigate whether PAIs and researchers are reaching comparable populations, and whether differences in answers are due to the sensitive nature of the questions. Methods: Structured interviews were conducted with 368 patients from nine OST clinics in three Swedish cities. 237 interviews were carried out by researchers, and 131 by nine PAIs (OST patients). Data were analyzed with χ2 test, Fisher’s exact test, t-test and logistic regression analysis. Results: PAIs and researchers recruited comparable populations, with few differences in terms of individual, treatment and social factors. However, self-reported behaviors revealed several significant differences. Alcohol consumption and drinking to intoxication was more commonly reported among patients interviewed through PAI (p < 0.001 and p = 0.001, respectively). Furthermore, the PAI group reported selling medication (p < 0.001 last month, p < 0.001 during treatment episode) and snorting buprenorphine (p = 0.010 last month, p = 0.001 during treatment episode) more frequently. Conclusions: PAI is a useful method in studies of illicit drug use and a valuable complement to more traditional interviewing methods. Specifically as regards revelations of a sensitive or controversial nature, PAI seems to produce different results than researcher interviews, and possibly also more truthful responses. PAI may have considerable potential as a data-gathering method also when studying other, more easily accessible populations. (Less)
Please use this url to cite or link to this publication:
author
and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Privileged access interviewing, Hidden populations, Drug use, Self-report method, Opioid substitution treatment, Social Sciences, Samhällsvetenskap
in
Addiction Research and Theory
volume
24
issue
5
pages
10 pages
publisher
Informa Healthcare
external identifiers
  • scopus:84976313916
ISSN
1606-6359
DOI
10.3109/16066359.2016.1149570
language
English
LU publication?
no
additional info
2024-02-05T14:07:22.202+01:00
id
449ebbb4-3644-4117-ab45-0cd24be3c811
alternative location
http://mau.diva-portal.org/smash/get/diva2:1418176/FULLTEXT01.pdf
date added to LUP
2025-10-01 18:03:20
date last changed
2025-10-06 10:56:14
@article{449ebbb4-3644-4117-ab45-0cd24be3c811,
  abstract     = {{Aims: Privileged access interviewing (PAI) has traditionally been used to reach illicit drug users and other ‘hidden’ populations. How PAI data compare to other self-reported data have seldom been discussed. We compare data from patients in opioid substitution treatment (OST), gathered through PAI and researcher interviews, respectively, to investigate whether PAIs and researchers are reaching comparable populations, and whether differences in answers are due to the sensitive nature of the questions. Methods: Structured interviews were conducted with 368 patients from nine OST clinics in three Swedish cities. 237 interviews were carried out by researchers, and 131 by nine PAIs (OST patients). Data were analyzed with χ2 test, Fisher’s exact test, t-test and logistic regression analysis. Results: PAIs and researchers recruited comparable populations, with few differences in terms of individual, treatment and social factors. However, self-reported behaviors revealed several significant differences. Alcohol consumption and drinking to intoxication was more commonly reported among patients interviewed through PAI (p &lt; 0.001 and p = 0.001, respectively). Furthermore, the PAI group reported selling medication (p &lt; 0.001 last month, p &lt; 0.001 during treatment episode) and snorting buprenorphine (p = 0.010 last month, p = 0.001 during treatment episode) more frequently. Conclusions: PAI is a useful method in studies of illicit drug use and a valuable complement to more traditional interviewing methods. Specifically as regards revelations of a sensitive or controversial nature, PAI seems to produce different results than researcher interviews, and possibly also more truthful responses. PAI may have considerable potential as a data-gathering method also when studying other, more easily accessible populations.}},
  author       = {{Johnson, Björn and Richert, Torkel}},
  issn         = {{1606-6359}},
  keywords     = {{Privileged access interviewing; Hidden populations; Drug use; Self-report method; Opioid substitution treatment; Social Sciences; Samhällsvetenskap}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{406--415}},
  publisher    = {{Informa Healthcare}},
  series       = {{Addiction Research and Theory}},
  title        = {{A comparison of privileged access interviewing and traditional interviewing methods when studying drug users in treatment}},
  url          = {{http://dx.doi.org/10.3109/16066359.2016.1149570}},
  doi          = {{10.3109/16066359.2016.1149570}},
  volume       = {{24}},
  year         = {{2016}},
}