Pseudo Label NCF for Sparse OHC Recommendation: Dual Representation Learning and the Separability Accuracy Trade off

Online Health Communities connect patients for peer support, but users face a discovery challenge when they have minimal prior interactions to guide personalization. We study recommendation under extreme interaction sparsity in a survey driven setting where each user provides a 16 dimensional intake vector and each support group has a structured feature profile. We extend Neural Collaborative Filtering architectures, including Matrix Factorization, Multi Layer Perceptron, and NeuMF, with an auxiliary pseudo label objective derived from survey group feature alignment using cosine similarity mapped to [0, 1]. The resulting Pseudo Label NCF learns dual embedding spaces: main embeddings for ranking and pseudo label embeddings for semantic alignment. We evaluate on a dataset of 165 users and 498 support groups using a leave one out protocol that reflects cold start conditions. All pseudo label variants improve ranking performance: MLP improves HR@5 from 2.65% to 5.30%, NeuMF from 4.46% to 5.18%, and MF from 4.58% to 5.42%. Pseudo label embedding spaces also show higher cosine silhouette scores than baseline embeddings, with MF improving from 0.0394 to 0.0684 and NeuMF from 0.0263 to 0.0653. We further observe a negative correlation between embedding separability and ranking accuracy, indicating a trade off between interpretability and performance. These results show that survey derived pseudo labels improve recommendation under extreme sparsity while producing interpretable task specific embedding spaces.