Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication

Anda-Ramona Tănasie; Philipp Rameder; Cornelia Schneider

doi:10.3233/SHTI260056

Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication

Anda-Ramona Tănasie
, Philipp Rameder
, Cornelia Schneider

Institute of Computer Sciences

Salzburg University of Applied Sciences

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

Abstract

Abstract. Background: The 24h live-in care sector relies on Eastern European
workers and multilingual communication. Objectives: The aim was to select the
best AI-based language services for a 24h care communication app under real
deployment constraints. Methods: A scenario-based quality comparison for
transcription, translation, and their cascaded pipeline, and an analysis of the risks
and harmfulness for the specific application context were performed. Results:
Chirp2 and DeepL showed the best quality. We balanced quality with latency and
detected the presence of potentially harmful meaning shifts. Conclusion: Domaingrounded evaluation provides a solid base for informed engineering decisions, but
considering constraints and risks is necessary for end-to-end safety in deployment.

Original language	English
Title of host publication	Proceedings of the 20th Health Informatics Meets Digital Health Conference
Editors	Günter Schreier, Martin Baumgartner, Dieter Haydn, Bernhard Pfeifer
Publisher	IOS Press BV
Volume	20
ISBN (Electronic)	978-1-64368-660-8
DOIs	https://doi.org/10.3233/SHTI260056
Publication status	Published - 12 May 2026
Event	dHealth 2026: 20th Annual Conference on Health Informatics meets Digital Health - Apothekertrakt / Schönbrunn Palace, Vienna, Austria Duration: 12 May 2026 → 13 May 2026 https://dhealth.at/

Publication series

Name	Studies in Health Technology and Informatics
Volume	335
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	dHealth 2026
Country/Territory	Austria
City	Vienna
Period	12/05/26 → 13/05/26
Internet address	https://dhealth.at/

Keywords

Home Care Services
Communication Barriers
Speech Recognition Software
Translations
Health Informatics
Benchmarking
Patient Safety
Ambient Assisted Living

Access to Document

10.3233/SHTI260056

24/7-Digital
Schneider, C. (PI), Kolmann, P. (CoI), Rameder, P. (CoI), Mayr, C. (CoI), Taus, K. (CoI), Busch, A. (CoI), Schwammer, S. (CoI), Tănasie, A.-R. (CoI), Grem, T. (CoI) & Pavlović, A. (CoI)
1/09/23 → 31/08/26
Project: Research

Cite this

Tănasie, A.-R., Rameder, P., & Schneider, C. (2026). Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication. In G. Schreier, M. Baumgartner, D. Haydn, & B. Pfeifer (Eds.), Proceedings of the 20th Health Informatics Meets Digital Health Conference (Vol. 20). (Studies in Health Technology and Informatics; Vol. 335). IOS Press BV. https://doi.org/10.3233/SHTI260056

Tănasie, Anda-Ramona ; Rameder, Philipp ; Schneider, Cornelia. / Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication. Proceedings of the 20th Health Informatics Meets Digital Health Conference. editor / Günter Schreier ; Martin Baumgartner ; Dieter Haydn ; Bernhard Pfeifer. Vol. 20 IOS Press BV, 2026. (Studies in Health Technology and Informatics).

@inproceedings{01c4411ef78b4f1ab1942eb8dd5722fd,

title = "Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication",

abstract = "Abstract. Background: The 24h live-in care sector relies on Eastern European workers and multilingual communication. Objectives: The aim was to select the best AI-based language services for a 24h care communication app under real deployment constraints. Methods: A scenario-based quality comparison for transcription, translation, and their cascaded pipeline, and an analysis of the risks and harmfulness for the specific application context were performed. Results: Chirp2 and DeepL showed the best quality. We balanced quality with latency and detected the presence of potentially harmful meaning shifts. Conclusion: Domaingrounded evaluation provides a solid base for informed engineering decisions, but considering constraints and risks is necessary for end-to-end safety in deployment. ",

keywords = "Home Care Services, Communication Barriers, Speech Recognition Software, Translations, Health Informatics, Benchmarking, Patient Safety, Ambient Assisted Living",

author = "Anda-Ramona T{\u a}nasie and Philipp Rameder and Cornelia Schneider",

year = "2026",

month = may,

day = "12",

doi = "10.3233/SHTI260056",

language = "English",

volume = "20",

series = "Studies in Health Technology and Informatics",

publisher = "IOS Press BV",

editor = "G{\"u}nter Schreier and Martin Baumgartner and Dieter Haydn and Bernhard Pfeifer",

booktitle = "Proceedings of the 20th Health Informatics Meets Digital Health Conference",

note = "dHealth 2026 ; Conference date: 12-05-2026 Through 13-05-2026",

url = "https://dhealth.at/",

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Tănasie, A-R , Rameder, P & Schneider, C 2026, Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication. in G Schreier, M Baumgartner, D Haydn & B Pfeifer (eds), Proceedings of the 20th Health Informatics Meets Digital Health Conference. vol. 20, Studies in Health Technology and Informatics, vol. 335, IOS Press BV, dHealth 2026, Vienna, Austria, 12/05/26. https://doi.org/10.3233/SHTI260056

Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication. / Tănasie, Anda-Ramona ; Rameder, Philipp; Schneider, Cornelia.
Proceedings of the 20th Health Informatics Meets Digital Health Conference. ed. / Günter Schreier; Martin Baumgartner; Dieter Haydn; Bernhard Pfeifer. Vol. 20 IOS Press BV, 2026. (Studies in Health Technology and Informatics; Vol. 335).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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T1 - Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication

AU - Tănasie, Anda-Ramona

AU - Rameder, Philipp

AU - Schneider, Cornelia

PY - 2026/5/12

Y1 - 2026/5/12

N2 - Abstract. Background: The 24h live-in care sector relies on Eastern European workers and multilingual communication. Objectives: The aim was to select the best AI-based language services for a 24h care communication app under real deployment constraints. Methods: A scenario-based quality comparison for transcription, translation, and their cascaded pipeline, and an analysis of the risks and harmfulness for the specific application context were performed. Results: Chirp2 and DeepL showed the best quality. We balanced quality with latency and detected the presence of potentially harmful meaning shifts. Conclusion: Domaingrounded evaluation provides a solid base for informed engineering decisions, but considering constraints and risks is necessary for end-to-end safety in deployment.

AB - Abstract. Background: The 24h live-in care sector relies on Eastern European workers and multilingual communication. Objectives: The aim was to select the best AI-based language services for a 24h care communication app under real deployment constraints. Methods: A scenario-based quality comparison for transcription, translation, and their cascaded pipeline, and an analysis of the risks and harmfulness for the specific application context were performed. Results: Chirp2 and DeepL showed the best quality. We balanced quality with latency and detected the presence of potentially harmful meaning shifts. Conclusion: Domaingrounded evaluation provides a solid base for informed engineering decisions, but considering constraints and risks is necessary for end-to-end safety in deployment.

KW - Home Care Services

KW - Communication Barriers

KW - Speech Recognition Software

KW - Translations

KW - Health Informatics

KW - Benchmarking

KW - Patient Safety

KW - Ambient Assisted Living

U2 - 10.3233/SHTI260056

DO - 10.3233/SHTI260056

M3 - Conference contribution

VL - 20

T3 - Studies in Health Technology and Informatics

BT - Proceedings of the 20th Health Informatics Meets Digital Health Conference

A2 - Schreier, Günter

A2 - Baumgartner, Martin

A2 - Haydn, Dieter

A2 - Pfeifer, Bernhard

PB - IOS Press BV

T2 - dHealth 2026

Y2 - 12 May 2026 through 13 May 2026

ER -

Tănasie AR , Rameder P, Schneider C. Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication. In Schreier G, Baumgartner M, Haydn D, Pfeifer B, editors, Proceedings of the 20th Health Informatics Meets Digital Health Conference. Vol. 20. IOS Press BV. 2026. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI260056

Care for Context: Evaluating Speech-to-Text and Translation Services for 24h Live-In Care Communication

Abstract

Publication series

Conference

Keywords

Access to Document

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Projects

24/7-Digital

Cite this