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Ageing and communication : understanding the roles of cognition, speech production and social participation

Student thesis: Doctoral Thesis

Abstract

Typical ageing is accompanied by changes in cognitive and motor speech functioning. However, the relationship between these domains is underexplored, as is the extent to which they predict social participation, a lifestyle factor protective of brain health. Using a survey, Study 1 investigated longitudinal relationships between subjective cognition and speech execution. Older adults (N = 204, M = 70.58, SD = 6.65) self-reported on cognitive abilities, speech execution and sociodemographic variables at two timepoints, 12 months apart. Attention/concentration, and language significantly predicted speech execution at baseline. Visual perceptual ability at T1 predicted speech execution at T2, and speech execution at T1 predicted language at T2. Self-reported speech difficulty may provide an early marker of cognitive change in the absence of objective cognitive impairment. Study 2 investigated relationships between fluid/crystallised cognition and speech execution subsystems (articulation and phonation). Older adults (N = 87, M = 71.48, SD = 6.71) completed the NIH toolbox cognition and sensation domains, two maximum performance tasks assessing articulation and phonation, two connected speech tasks, and self-reported sociodemographic and wellbeing measures. Fluid and crystallised cognition predicted articulation during a diadochokinetic (DDK) but not during connected speech, suggesting that everyday communication is relatively spared. Study 3 investigated whether fluid cognition, crystallised cognition, and/or articulation predicted social participation, using Study 2 data. Participants selfreported their activity engagement, social network size and levels of communicative participation. There were no significant relationships amongst core predictors and social participation. Self-reported speech difficulty, a covariate, significantly predicted reduced communicative participation. Perceptions of speech may be a better indicator of communicative participation than objective measures. Future research should consider whether self-reported cognition predicts social participation. The development of self-report questionnaires measuring speech in typical ageing is also a priority.
Date of Award13 Feb 2026
Original languageEnglish
Awarding Institution
  • University Of Strathclyde
SponsorsUniversity of Strathclyde
SupervisorLouise Brown Nicholls (Supervisor) & Anja Kuschmann (Supervisor)

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