{"id":24257,"date":"2026-07-03T15:04:44","date_gmt":"2026-07-03T19:04:44","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=24257"},"modified":"2026-07-06T15:24:45","modified_gmt":"2026-07-06T19:24:45","slug":"accuracy-of-language-data-in-home-care-and-long-term-care-assessments-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/accuracy-of-language-data-in-home-care-and-long-term-care-assessments-in-ontario-canada\/","title":{"rendered":"Accuracy of language data in home care and long-term care assessments in Ontario, Canada"},"content":{"rendered":"<section id=\"abssec0010\"><strong>Objectives<\/strong> \u2014 Accurate language data are essential for studying health inequities related to language barriers. Our objective was to understand the accuracy of language variables in home care and long-term care databases.<\/p>\n<p><strong>Design<\/strong> \u2014 Descriptive cross-sectional study using linked health administrative data.<\/p>\n<p><strong>Setting and participants<\/strong> \u2014 The study included adults (aged \u226520 years) in Ontario, Canada, who answered the Canadian Community Health Survey between 2011 and 2018 and had assessments in home care and long-term care databases.<\/p>\n<p><strong>Methods<\/strong> \u2014 We linked survey respondents to assessment data from home care databases [Resident Assessment Instrument\u2013Home Care (RAI-HC) and International Resident Assessment Instrument (InterRAI)] or from the long-term care database [Continuing Care Reporting System (CCRS)]. The answer to \u201cWhat is the language you speak most often at home?\u201d was our reference standard, identified from the Canadian Community Health Survey. We reported the data accuracy and agreement levels for the language variables in the health care databases compared with our reference standard.<\/p>\n<p><strong>Results<\/strong> \u2014 Among survey respondents, we identified 8532 individuals with assessments in RAI-HC, 10,690 in InterRAI, and 4667 in CCRS. The accuracy of identifying true language preference was 88% in RAI-HC, 79% in InterRAI, and 82% in CCRS. The RAI-HC language variables had a sensitivity of 72.0% (95% CI, 68.2-75.7) for identifying a non-English language, InterRAI variables had a sensitivity of 66.9% (95% CI, 63.6-70.2), and CCRS variables had a sensitivity of 68.1% (95% CI, 63.1-73.0). The specificity of these variables for identifying a non-English language was high across all 3 databases (98.4%, 98.6%, and 98.5%) and very high for the \u201cneeds interpreter\u201d variable [99.7% (95% CI, 99.5-99.9)].<\/p>\n<p><strong>Conclusions and implications<\/strong> \u2014 The accuracy of identifying true language preference was moderately sensitive and highly specific in home care and long-term care databases in Ontario, Canada. Our findings support the use of these variables to identify linguistic groups.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 Accurate language data are essential for studying health inequities related to language barriers. Our objective was to understand the accuracy of language variables in home care and long-term care databases. Design \u2014 Descriptive cross-sectional study using linked health administrative data. Setting and participants \u2014 The study included adults (aged \u226520 years) in Ontario, [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[20,30,32,35],"migration-helper-qa-sample-set":[],"class_list":["post-24257","journal_article","type-journal_article","status-publish","hentry","topic-health-and-health-care-inequality","topic-home-and-community-care","topic-long-term-care-and-continuing-care","topic-public-health"],"acf":{"citation":"Reppas-Rindlisbacher C, Podolsky S, Lapointe-Shaw L, Fowler RA, Sheehan KA, Stukel TA, Rawal S, Rochon PA. <em>J Am Med Dir Assoc<\/em>. 2026; 27(9): 106291. Epub 2026 Jul 3.","source_url":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106291","ices_scientist":[1287,1234,1372,1340],"site":[6733],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Accuracy of language data in home care and long-term care assessments in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 Accurate language data are essential for studying health inequities related to language barriers. Our objective was to understand the\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/accuracy-of-language-data-in-home-care-and-long-term-care-assessments-in-ontario-canada\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Accuracy of language data in home care and long-term care assessments in Ontario, Canada\" \/>\n<meta property=\"og:description\" content=\"Objectives \u2014 Accurate language data are essential for studying health inequities related to language barriers. 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