Artificial Intelligence in Questionnaire-Based Research: Quality of Life Classification Across Different Population Groups
Source abstract
Abstract
This interdisciplinary study presents a novel questionnaire analysis methodology using Artificial Intelligence (AI) and Machine Learning (ML). The framework is broadly applicable to all areas of research using questionnaire data analysis, including health sciences and physical education. Our predictive modeling was based on the XG-Boost algorithm, which classified individuals into three distinct groups—employees and two cohorts of retirees—based on their demographic profiles and responses to the WHOQOL-BREF survey. In order to ensure the credibility and reliability of the predictions, the model building process used the implementation of cross-validation. This procedure produced a model with a resultant accuracy of 0.8038 (95% confidence interval: 0.7551–0.8908). To go beyond conventional performance metrics, we implemented the SHapley Additive exPlanations (SHAP) method, providing a transparent and detailed interpretation of the model’s decision-making process. This explainable AI analysis clarifies both the magnitude and direction of the impact of key factors such as age and various predictors of quality of life, providing detailed, data-driven insights into what differentiates groups.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Mental Health via Writing · Artificial Intelligence in Healthcare and Education · Digital Mental Health Interventions
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Nuclear Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Department of Radiological Informatics and Statistics, Medical University of Gdańsk, 80-210 Gdańsk, Poland
Faculty of Health Sciences and Physical Education, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland
References (73)
Show source-provided references
1. Bielińska, A., Wąż, P., and Bielińska-Wąż, D. (2022). A Computational Model of Similarity Analysis in Quality of Life Research: An Example of Studies in Poland. Life, 12.10.3390/life12010056 ↗
2. Bielińska, A., Bielińska-Wąż, D., and Wąż, P. (2020). Classification Maps in Studies on the Retirement Threshold. Appl. Sci., 10.10.3390/app10041282 ↗
3. A New Method in Bioinformatics—Interdisciplinary Similarity Studies
4. A New Computational Method: Interdisciplinary Classification Analysis
5. Classification Studies in Various Areas of Science10.1007/978-3-030-10692-8_36 ↗
6. Mathematical Modeling: Interdisciplinary Similarity Studies10.1007/978-3-030-10692-8_37 ↗
7. (2025, October 25). World Health Organization. Available online: https://www.who.int/tools/whoqol/whoqol-bref.
8. Karnofsky, D.A., and Burchenal, J.H. (1948). Evaluation of Chemotherapeutic Agents in Cancer, New York Columbia University Press.
9. Appraisal of methods for the study of chemotherapy of cancer in man: Comparative therapeutic trial of nitrogen mustard and triethylene thiophosphoramide10.1016/0021-9681(60)90137-5 ↗
10. Quality of Life: Principles of the Clinical Paradigm10.1300/J077v08n02_09 ↗
11. (2025, October 25). ISOQOL—International Society for Quality of Life Research. Available online: https://www.isoqol.org.
12. The relationship between kinesiophobia and health-related quality of life in patients with rheumatoid arthritis: A controlled cross-sectional study10.1016/j.jbspin.2021.105275 ↗
13. Roles of the physical environment in health-related quality of life in with chronic obstructive pulmonary disease10.1016/j.envres.2021.111828 ↗
14. Impulsivity mediates the relationship between childhood maltreatment and quality of life: Does social support make it different?10.1016/j.paid.2021.111208 ↗
15. The association between depression and oral health related quality of life in people who inject drugs10.1016/j.drugalcdep.2021.109121 ↗
16. Screen time and child behaviour and health-related quality of life: Effect of family context10.1016/j.ypmed.2021.106795 ↗
17. Health-related quality of life in developmental coordination disorder and typical developing children10.1016/j.ridd.2021.104087 ↗
18. Comorbidity Prevalence and Impact on Quality of Life in Gay and Bisexual Men Following Prostate Cancer Treatment10.1016/j.esxm.2021.100439 ↗
19. Long-Meek, E., Asay, G.L., and Cope, M.R. (2025). Clarifying Community Concepts: A Review of Community Attachment, Community Satisfaction, and Quality of Life. Societies, 15.10.3390/soc15080216 ↗
20. Concept analysis of diabetes-related quality of life10.1186/s12955-025-02354-2 ↗
21. Health-related quality of life of children and adolescents with sickle cell disease: An evolutionary concept analysis10.1016/j.apnr.2024.151862 ↗
22. Quality of life among Indonesian school-aged children with attention-deficit hyperactivity disorder: A concept analysis
23. Generation of Concepts for a Core Domain Set to Assess Health-Related Quality of Life in Patients with Cutaneous T-Cell Lymphoma: A Mixed Methods Study10.1016/j.jaad.2025.05.847 ↗
24. Defining Core Concepts for Health-Related Quality of Life for Patients with Mycosis Fungoides and Sézary Syndrome: A Systematic Literature Review10.1002/jvc2.70039 ↗
25. Hypophosphatasia (HPP) Patient & Caregiver Disease Burden, Quality of Life & Treatment Experience: A Mixed Methods Study Concept10.1016/j.jval.2025.04.1513 ↗
26. Bunn, D., Zhang, W.J., Smith, N., Jimoh, O., Greenstock, J., Edoo, M., and Towers, A.M. (2025). Minimising the impact of infectious outbreaks on resident quality of life: A qualitative proof of concept study using the Adult Social Care Outcomes Toolkit (ASCOT). PLoS ONE, 20.10.1371/journal.pone.0316424 ↗
27. The Challenges of Achieving WELL Standards in Residential Apartment Design and Enhancing the Concept of Quality of Life: An Analytical Study in the Kingdom of Saudi Arabia
28. The EQ-5D and EQ-HWB fit the perceptions of quality of life from a Chinese perspective: A concept mapping study10.1186/s12955-025-02361-3 ↗
29. Change in the General Public’s Concept of Quality of Life Over Time in Three National Surveys: Part 1: Awareness and Concept
30. Changes in the General Public’s Concept of Quality of Life Over Time in Three National Surveys: Part 2: Conceptual Structure
31. Graduate Student Literature Review: Integrating concepts of animal welfare and health-related quality of life for preweaning dairy calves10.3168/jds.2024-24923 ↗
32. Validation of the Spanish Version of the Nursing Self-Concept Instrument: Psychometric Properties and Study of Its Relations with Clinical Practice and Professional Quality of Life in Nursing Students10.1111/nhs.70173 ↗
33. Quality of life, academic self-concept, and mental health in children with epilepsy: The possible role of epilepsy comorbidities10.1016/j.yebeh.2025.110471 ↗
34. Analysis of quality of life and outcomes of vestibular schwannoma patients after resection and radiosurgery in an interdisciplinary treatment concept10.1038/s41598-025-00372-0 ↗
35. Effect of a Multimodal Pain Therapy Concept Including Intensive Physiotherapy on the Perception of Pain and the Quality of Life of Patients with Chronic Back Pain: A Prospective Observational Multicenter Study Named “RütmuS”10.1155/prm/6693678 ↗
36. Jost-Engl, J., Ketter, R., Brandt, R., Völker, K., Gerss, J., Jetschke, K., Lucas, C.W., Baumann, F.T., Lepper, P.M., and Urbschat, S. (2025). Enhancing cardiorespiratory fitness and quality of life in high-grade glioma through an intensive exercise intervention during chemotherapy: Proof of concept. Neuro-Oncology, noaf176.10.1093/neuonc/noaf176 ↗
37. Impact of Empowerment Education Concept Plus Humanistic Care on Moods and Quality of Life in Lung Cancer Patients Undergoing Chemotherapy10.5152/pcp.2025.241011 ↗
38. Effect of Enhanced Recovery after Surgery Concept Combined with Roy’s Adaptation Model on Perioperative Mental Health, Quality of Life, Recovery Conditions, and Postoperative Complications in Patients Undergoing Radical Prostatectomy: A Retrospective Study10.56434/j.arch.esp.urol.20247710.160 ↗
39. Effect of graded nursing based on risk early warning concept on the incidence of pressure injury, quality of life, and negative affect of long-term bedridden patients10.62347/WYQM8037 ↗
40. Electronic patient-reported outcome measures in pediatric cardiology. Health-related quality of life as a useful concept for holistic care10.1007/s00112-025-02258-x ↗
41. LLOD-Driven Bilingual Word Embeddings Rivaling Cross-Lingual Transformers in Quality of Life Concept Detection from French Online Health Communities
42. Associations between Physical Activity Levels and Quality of Life Dimensions among Saudi Female University Students: A Cross-Sectional Analysis Using WHOQOL-BREF and IPAQ-SF10.15561/20755279.2025.0304 ↗
43. Validating Psychometric Properties of Generic Quality-of-Life Instruments (WHOQOL-BREF (TW) and EQ-5D) among Non-Dialysis Chronic Kidney Disease: Rasch and Confirmatory Factor Analyses10.1016/j.jfma.2024.12.030 ↗
44. A Multivariate Analysis of Reported Quality of Life among Medical Students in Jordan Using the WHOQOL-BREF10.4103/jehp.jehp_1064_24 ↗
45. Gender Difference in Domain-Specific Quality of Life Measured by Modified WHOQoL-BREF Questionnaire and Their Associated Factors among Older Adults in a Rural District in Bangladesh10.1371/journal.pone.0317113 ↗
46. Modern Psychometric Evaluation of Thai WHOQOL-BREF and Its Shorter Versions in Patients Undergoing Warfarin in Thailand: Rasch Analysis10.1038/s41598-024-71048-4 ↗
47. Minimal Clinically Important Difference in the World Health Organization Quality of Life Brief (WHOQOL-BREF) for Adults with Neurofibromatosis10.1007/s11136-023-03596-7 ↗
48. Bat-Erdene, E., Hiramoto, T., Tumurbaatar, E., Tumur-Ochir, G., Jamiyandorj, O., Yamamoto, E., Hamajima, N., Oka, T., Jadamba, T., and Lkhagvasuren, B. (2023). Quality of Life in the General Population of Mongolia: Normative Data on WHOQOL-BREF. PLoS ONE, 18.10.1371/journal.pone.0291427 ↗
49. Health-Related Quality of Life of Refugees: A Systematic Review of Studies Using the WHOQOL-Bref Instrument in General and Clinical Refugee Populations in the Community Setting10.1186/s13031-021-00378-1 ↗
50. A-12 Relationship Between Risk Propensity and Perceived Concussion Retirement Thresholds in College-Aged Athletes Following Concussion10.1093/arclin/acaf058.12 ↗
51. Optimal Asset allocation in Retirement Planning: Threshold-Based Utility Maximization10.1108/JRF-04-2021-0060 ↗
52. Social Group Memberships, Physical Activity, and Physical Health Following Retirement: A Six-Year Follow-Up from the English Longitudinal Study of Ageing10.1111/bjhp.12506 ↗
53. Physical Activity Across Retirement Transition by Occupation and Mode of Commute10.1249/MSS.0000000000002326 ↗
54. The Effect of Retirement on Health
55. Daily Physical Activity Patterns Among Aging Workers: The Finnish Retirement and Aging Study (FIREA)10.1136/oemed-2018-105266 ↗
56. At the Threshold of Retirement: From All-Absorbing Relations to Self-Actualization10.1080/08952841.2016.1187537 ↗
57. Changes in Health and Health Behavior Associated with Retirement10.1177/0898264315624906 ↗
58. Everybody’s Working for the Weekend: Changes in Enjoyment of Everyday Activities Across the Retirement Threshold10.1093/ageing/afw099 ↗
59. The Mental and Physical Health Consequences of Changes in Private Insurance Before and After Early Retirement10.1093/geronb/gbv020 ↗
60. The learning cultures of Third Age participants: Institutional management and participants’ experience in U3A in the UK and SU in Korea
61. The role of the University of the Third Age in meeting needs of adult learners in Victoria, Australia
62. The Structure of Seniors’ Needs and Their Level of Fulfillment at Universities of the Third Age in Poland10.1111/ejed.70219 ↗
63. Body composition and quality of life (QoL) of the elderly offered by the “University Third Age” (UTA) in Brazil10.1016/j.archger.2010.04.010 ↗
64. It’s never too late to learn—How does the Polish U3A change the quality of life for seniors?10.1080/03601277.2015.1085789 ↗
65. The importance of the university of the third age to improved mental health and healthy aging of community-dwelling older adults
66. Chen, T., and Guestrin, C. (2016, January 13–17). XGBoost: A Scalable Tree Boosting System. Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, San Francisco, CA, USA.10.1145/2939672.2939785 ↗
67. XGBoost Developers (2025, September 30). XGBoost Documentation. Available online: https://xgboost.readthedocs.io/.
68. A Comparative Analysis of XGBoost10.1007/s10462-020-09896-5 ↗
69. Building Predictive Models in R Using the caret Package10.18637/jss.v028.i05 ↗
70. Chen, T., He, T., Benesty, M., Khotilovich, V., Tang, Y., Cho, H., Chen, K., Mitchell, R., Cano, I., and Zhou, T. (2025, September 30). xgboost: Extreme Gradient Boosting. R Package Version 1.7.11.1. Available online: https://CRAN.R-project.org/package=xgboost.
71. Liu, Y., and Just, A. (2025, September 30). SHAPforxgboost: SHAP Plots for ’XGBoost’. R Package Version 0.1.3. Available online: https://CRAN.R-project.org/package=SHAPforxgboost.
72. Reshaping Data with the reshape Package
73. Wickham, H. (2016). ggplot2: Elegant Graphics for Data Analysis, Springer.10.1007/978-3-319-24277-4_9 ↗