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PreprintCC BY-NC-NDmedRxiv

Same answer, different reasons: AI-moderated interviews uncover topics and reasoning that surveys miss.

  1. 1Surgo Health

Abstract

Surveys can reach large samples but capture only pre-defined answers, with identical responses often concealing very different reasoning. We tested whether AI-moderated interviews capture this reasoning at scale. In a pre-registered, randomized, counterbalanced design, 1,953 US adults from a probability-based panel and an opt-in panel completed three AI-moderated interviews as well as a section with closed-ended and open-text survey items. Topics were extracted from transcripts inductively, without a predefined codebook, and validated by a confirmatory follow-up. Participants endorsed 94% of topics as fair descriptions of what they said. 21-51% of topics from the AI interview had no counterpart in the closed-ended battery, and 17-37 percentage points net coverage over open text answers. Among respondents who gave identical closed-ended responses, their reasoning diverged widely in valence and content. AI-moderated interviews surface reasons that closed-ended and open-text items miss, and show how reasoning differs among people who answer alike.

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BibTeX
@misc{anwylirvine2026same,
  title = {{Same answer, different reasons: AI-moderated interviews uncover topics and reasoning that surveys miss.}},
  author = {A. Anwyl-Irvine and M. Economides and T. Engelthaler and S. Sutermaster and H. Kemp and S. Sgaier and P. Smittenaar},
  howpublished = {medRxiv},
  year = {2026},
  month = nov,
  doi = {10.64898/2026.11.01.26367029},
  url = {https://www.medrxiv.org/content/10.64898/2026.11.01.26367029v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - Same answer, different reasons: AI-moderated interviews uncover topics and reasoning that surveys miss.
AU  - A. Anwyl-Irvine
AU  - M. Economides
AU  - T. Engelthaler
AU  - S. Sutermaster
AU  - H. Kemp
AU  - S. Sgaier
AU  - P. Smittenaar
PY  - 2026
DA  - 2026/11/01
PB  - medRxiv
DO  - 10.64898/2026.11.01.26367029
UR  - https://www.medrxiv.org/content/10.64898/2026.11.01.26367029v1
AB  - Surveys can reach large samples but capture only pre-defined answers, with identical responses often concealing very different reasoning. We tested whether AI-moderated interviews capture this reasoning at scale. In a pre-registered, randomized, counterbalanced design, 1,953 US adults from a probability-based panel and an opt-in panel completed three AI-moderated interviews as well as a section with closed-ended and open-text survey items. Topics were extracted from transcripts inductively, without a predefined codebook, and validated by a confirmatory follow-up. Participants endorsed 94% of topics as fair descriptions of what they said. 21-51% of topics from the AI interview had no counterpart in the closed-ended battery, and 17-37 percentage points net coverage over open text answers. Among respondents who gave identical closed-ended responses, their reasoning diverged widely in valence and content. AI-moderated interviews surface reasons that closed-ended and open-text items miss, and show how reasoning differs among people who answer alike.
ER  -