Self-regulated reading in adulthood

Ageing of grammatical advance planning in spoken sentence production: an eye movement study

This study used an image-description paradigm with concurrent eye movement recordings to investigate differences of grammatical advance planning between young and older speakers in spoken sentence production. Participants were asked to produce sentences with simple or complex initial phrase structures (IPS) in Experiment 1 while producing individual words in Experiment 2. Young and older speakers showed comparable speaking latencies in sentence production task, whereas older speakers showed longer latencies than young speakers in word production task. Eye movement data showed that compared with young speakers, older speakers had higher fixation percentage on object 1, lower percentage of gaze shift from object 1 to 2, and lower fixation percentage on object 2 in simple IPS sentences, while they showed similar fixation percentage on object 1, similar percentage of gaze shift from object 1 to 2, and lower fixation percentage on object 2 in complex IPS sentences, indicating a decline of grammatical encoding scope presenting on eye movement patterns. Meanwhile, speech analysis showed that older speakers presented longer utterance duration, slower speech rate, and longer and more frequently occurred pauses in articulation, indicating a decline of speech articulation in older speakers. Thus, our study suggests that older speakers experience an ageing effect in the sentences with complex initial phrases due to limited cognitive resources.

Metacognition for hearing in noise: a comparison between younger and older adults

Metacognition entails knowledge of one's own cognitive skills, perceived self-efficacy and locus of control when performing a task, and performance monitoring. Age-related changes in metacognition have been observed in metamemory, whereas their occurrence for hearing remained unknown. We tested 30 older and 30 younger adults with typical hearing, to assess if age reduces metacognition for hearing sentences in noise. Metacognitive monitoring for older and younger adults was overall comparable. In fact, the older group achieved better monitoring for words in the second part of the phrase. Additionally, only older adults showed a correlation between performance and perceived confidence. No age differentiation was found for locus of control, knowledge or self-efficacy. This suggests intact metacognitive skills for hearing in noise in older adults, alongside a somewhat paradoxical overconfidence in younger adults. These findings support exploiting metacognition for older adults dealing with noisy environments, since metacognition is central for implementing self-regulation strategies.

Cognitive perspectives on maintaining physicians' medical expertise: II. Acquiring, maintaining, and updating cognitive skills

Over the course of training, physicians develop significant knowledge and expertise. We review dual-process theory, the dominant theory in explaining medical decision making: physicians use both heuristics from accumulated experience (System 1) and logical deduction (System 2). We then discuss how the accumulation of System 1 clinical experience can have both positive effects (e.g., quick and accurate pattern recognition) and negative ones (e.g., gaps and biases in knowledge from physicians' idiosyncratic clinical experience). These idiosyncrasies, biases, and knowledge gaps indicate a need for individuals to engage in appropriate training and study to keep these cognitive skills current lest they decline over time. Indeed, we review converging evidence that physicians further out from training tend to perform worse on tests of medical knowledge and provide poorer patient care. This may reflect a variety of factors, such as specialization of a physician's practice, but is likely to stem at least in part from cognitive factors. Acquired knowledge or skills gained may not always be readily accessible to physicians for a number of reasons, including an absence of study, cognitive changes with age, and the presence of other similar knowledge or skills that compete in what is brought to mind. Lastly, we discuss the cognitive challenges of keeping up with standards of care that continuously evolve over time.

So you think you can read? Generalized metacomprehension in younger and older adults

This study explored whether age differences in task-specific metacomprehension accuracy are partly explained by age differences in generalized metacomprehension (GM) or the use of GM as a task-specific judgment anchor. GM was measured before and after a summarization and metacomprehension judgment task and then correlated with prediction judgment magnitude to assess anchoring, and correlated with comprehension and task-specific metacomprehension accuracy to assess GM accuracy. Age differences in these relationships were then tested. GM was related to judgment magnitude but despite age differences in GM ratings, age did not moderate anchoring or GM accuracy. Age differences in task-specific metacomprehension accuracy do not seem to be explained by age differences in GM accuracy or its use as a judgment anchor. However, results are the first to show that older adults anchor task-specific metacomprehension judgments on their GM, providing unique evidence for the Anchoring and Adjustment Model of Metacomprehension in advanced age.

Breast cancer patients' visual attention to information in hospital report cards: An eye-tracking study on differences between younger and older female patients

To (1) explore how women visually attend to a hospital report card (HRC), (2) explore whether visual attention of younger and older women (patients and non-patients) differs. Eye-tracking study with a short survey. Participants (N = 37) were provided with a hypothetical realistic HRC. Total dwell times and fixation counts were measured while participants viewed the information. Overall, no differences existed between younger and older women. Visual attention to the hospital of choice (vs not of choice) and to indicators perceived as most important (vs least important) did not differ. However, women with higher health literacy looked longer at the HRC than women with lower health literacy. Also, per fixation, older patients (vs younger patients) looked longer at the hospital of choice and at indicators perceived most important. Pre-existing conceptions of what information is relevant might result in more in-depth information processing among older patients than younger patients. In general, differences in level of health literacy, rather than (chronological) age, seem to be relevant to take into account when designing and/or updating HRCs.

Diving into a pool or volcano? Examining the influence of sentence context and task demands on sentence reading in younger and older adults

Cognitive ageing is often associated with slower lexical processing, which might influence both language production and comprehension. Words are typically used in context, which can further influence word processing and potential age differences. However, it remains unclear how older adults are affected by context during reading. Older adults are reported to have in-tact semantic knowledge, which could potentially help them to process words predicted by semantic information in the preceding context. However, potential difficulties with semantic control might mean older adults have greater difficulty suppressing interfering information from mismatching contexts. In this study we examined the influence of contexts that either predicted a specific target word ("matched", e.g., "The man watched the lava erupt from the volcano") or predicted another word than the target ("mismatched", e.g., "The swimmer dived into the volcano") as compared to neutral contexts (e.g., "They went to see the volcano"). We also examined the potential role of task demands by asking participants to either just read the sentences for comprehension or to answer questions. Forty younger adults (18-35 years old) and forty older adults (65-80 years old) completed a self-paced reading task in which we measured reading times for the target words. Older adults showed slower reading times overall. Matched sentence contexts facilitated reading times in both age groups. Surprisingly, mismatched sentence contexts did not hinder reading times in either age group. Furthermore, reading times were not influenced by task demands. Together, this shows the importance of studying language in context. While interference from mismatching sentence contexts might have not been substantial enough to delay reading, reading was faster when processing expected words. This suggests older adults can indeed benefit from semantic knowledge to facilitate word processing during comprehension. This occurred even when no additional task was presented and people were purely reading for comprehension.

The Effects of Sustained Literacy Engagement on Cognition and Sentence Processing Among Older Adults

Considerable evidence suggests that language processing depends on memory processes, which are vulnerable to declines with aging. Yet little is known about the effects of language processing in the form of sustained literacy engagement on memory and other aspects of cognition. In the current study, adults (60-79 years of age) were randomly assigned to an 8-week program of leisure reading (n = 38) or to an active puzzle control (n = 38). Relative to the control, the experimental group showed differential improvement in verbal working memory and episodic memory. The experimental group also showed evidence of enhanced conceptual integration in sentence processing. These effects did not vary as a function of personality characteristics (e.g., openness) hypothesized to be compatible with literacy engagement. These findings support the idea that the exercise of cognitive capacities in the context of everyday life may offset age-related impairment in areas of cognition engaged by the activity, regardless of dispositional fit.

Text Captioning Buffers Against the Effects of Background Noise and Hearing Loss on Memory for Speech

OBJECTIVE

Everyday speech understanding frequently occurs in perceptually demanding environments, for example, due to background noise and normal age-related hearing loss. The resulting degraded speech signals increase listening effort, which gives rise to negative downstream effects on subsequent memory and comprehension, even when speech is intelligible. In two experiments, we explored whether the presentation of realistic assistive text captioned speech offsets the negative effects of background noise and hearing impairment on multiple measures of speech memory.

DESIGN

In Experiment 1, young normal-hearing adults (N = 48) listened to sentences for immediate recall and delayed recognition memory. Speech was presented in quiet or in two levels of background noise. Sentences were either presented as speech only or as text captioned speech. Thus, the experiment followed a 2 (caption vs no caption) × 3 (no noise, +7 dB signal-to-noise ratio, +3 dB signal-to-noise ratio) within-subjects design. In Experiment 2, a group of older adults (age range: 61 to 80, N = 31), with varying levels of hearing acuity completed the same experimental task as in Experiment 1. For both experiments, immediate recall, recognition memory accuracy, and recognition memory confidence were analyzed via general(ized) linear mixed-effects models. In addition, we examined individual differences as a function of hearing acuity in Experiment 2.

RESULTS

In Experiment 1, we found that the presentation of realistic text-captioned speech in young normal-hearing listeners showed improved immediate recall and delayed recognition memory accuracy and confidence compared with speech alone. Moreover, text captions attenuated the negative effects of background noise on all speech memory outcomes. In Experiment 2, we replicated the same pattern of results in a sample of older adults with varying levels of hearing acuity. Moreover, we showed that the negative effects of hearing loss on speech memory in older adulthood were attenuated by the presentation of text captions.

CONCLUSIONS

Collectively, these findings strongly suggest that the simultaneous presentation of text can offset the negative effects of effortful listening on speech memory. Critically, captioning benefits extended from immediate word recall to long-term sentence recognition memory, a benefit that was observed not only for older adults with hearing loss but also young normal-hearing listeners. These findings suggest that the text captioning benefit to memory is robust and has potentially wide applications for supporting speech listening in acoustically challenging environments.

Preserved Perspective Taking in Free Indirect Discourse in Autism Spectrum Disorder

Perspective taking has been proposed to be impaired in persons with autism spectrum disorder (ASD), especially when implicit processing is required. In narrative texts, language perception and interpretation is fundamentally guided by taking the perspective of a narrator. We studied perspective taking in the linguistic domain of so-called Free Indirect Discourse (FID), during which certain text segments have to be interpreted as the thoughts or utterances of a protagonist without explicitly being marked as thought or speech representations of that protagonist (as in direct or indirect discourse). Crucially, the correct interpretation of text segments as FID depends on the ability to detect which of the protagonists "stands out" against the others and is therefore identifiable as implicit thinker or speaker. This so-called "prominence" status of a protagonist is based on linguistic properties (e.g., grammatical function, referential expression), in other words, the perspective is "hidden" and has to be inferred from the text material. In order to test whether this implicit perspective taking ability that is required for the interpretation of FID is preserved in persons with ASD, we presented short texts with three sentences to adults with and without ASD. In the last sentence, the perspective was switched either to the more or the less prominent of two protagonists. Participants were asked to rate the texts regarding their naturalness. Both diagnostic groups rated sentences with FID anchored to the less prominent protagonist as less natural than sentences with FID anchored to the more prominent protagonist. Our results that the high-level perspective taking ability in written language that is required for the interpretation of FID is well preserved in persons with ASD supports the conclusion that language skills are highly elaborated in ASD so that even the challenging attribution of utterances to protagonists is possible if they are only implicitly given. We discuss the implications in the context of claims of impaired perspective taking in ASD as well as with regard to the underlying processing of FID.

How Well Do You Think You Summarize? Metacomprehension Accuracy in Younger and Older Adults

OBJECTIVES

Metacomprehension monitoring accuracy in older age may be underestimated because of how it has been measured. Metacomprehension in the present study was uniquely measured by comparing summary quality to summary quality judgments. The effect of age on this accuracy was assessed and results were compared to those measured with the typical approach. The moderation of age effects by reading goal was also assessed but was an exploratory objective.1.

METHOD

Younger adults (141) and older adults (138) read and orally summarized six expository texts. Participants were randomly assigned to a reading goal condition, with half of each age group summarizing for a professor/boss and half summarizing for an acquaintance. Participants made judgments about the quality of their summaries before and after summarizing, took a multiple-choice test of their comprehension, and made judgments about the accuracy of their answers.

RESULTS

Age deficits in metacomprehension were generally smaller when measured with the novel approach and age differences were generally larger for the professor/boss condition than for the acquaintance condition.

DISCUSSION

The novel approach to measuring metacomprehension monitoring accuracy provides more optimism for aging than typical approaches, discussed in relation to age-related changes in language processing preferences.

Dissociable electrophysiological measures of natural language processing reveal differences in speech comprehension strategy in healthy ageing

Healthy ageing leads to changes in the brain that impact upon sensory and cognitive processing. It is not fully clear how these changes affect the processing of everyday spoken language. Prediction is thought to play an important role in language comprehension, where information about upcoming words is pre-activated across multiple representational levels. However, evidence from electrophysiology suggests differences in how older and younger adults use context-based predictions, particularly at the level of semantic representation. We investigate these differences during natural speech comprehension by presenting older and younger subjects with continuous, narrative speech while recording their electroencephalogram. We use time-lagged linear regression to test how distinct computational measures of (1) semantic dissimilarity and (2) lexical surprisal are processed in the brains of both groups. Our results reveal dissociable neural correlates of these two measures that suggest differences in how younger and older adults successfully comprehend speech. Specifically, our results suggest that, while younger and older subjects both employ context-based lexical predictions, older subjects are significantly less likely to pre-activate the semantic features relating to upcoming words. Furthermore, across our group of older adults, we show that the weaker the neural signature of this semantic pre-activation mechanism, the lower a subject’s semantic verbal fluency score. We interpret these findings as prediction playing a generally reduced role at a semantic level in the brains of older listeners during speech comprehension and that these changes may be part of an overall strategy to successfully comprehend speech with reduced cognitive resources.

Literacy skill and intra-individual variability in eye-fixation durations during reading: Evidence from a diverse community-based adult sample

To understand the effects of literacy on fundamental processes involved in reading, we report a secondary data analysis examining individual differences in global eye-movement measures and first-pass eye-movement distributions in a diverse sample of community-dwelling adults aged 16 to 64. Participants (n = 80) completed an assessment battery probing verbal and non-verbal cognitive abilities and read simple two-sentence passages while their eye movements were recorded. Analyses were focused on characterising the effects of literacy skill on both global indices of eye-fixation distributions and distributional differences in the sensitivity to lexical features. Global reading measures showed that lower literate adults read more slowly on average. However, distributional analyses of fixation durations revealed that the first-pass fixation durations of adults with lower literacy skill were not slower in general (i.e., there was no shift in the fixation duration distribution among lower literate adults). Instead, lower literacy was associated with greater intra-individual variability in first-pass fixation durations, including an increased proportion of extremely long fixations, differentially skewing the distribution of both first-fixation and gaze durations. Exploratory repeated-measures quantile regression analyses of gaze duration revealed differentially greater influences of word length among lower literate readers and greater activation of phonological and orthographic neighbours among higher literate readers, particularly in the tail of the distribution. Collectively, these findings suggest that literacy skill in adulthood is associated with systematic differences in both global and lexically driven eye-movement control during reading.

Healthy Aging and Sentence Production: Disrupted Lexical Access in the Context of Intact Syntactic Planning

Healthy aging does not affect all features of language processing equally. In this study, we investigated the effects of aging on different processes involved in fluent sentence production, a complex task that requires the successful execution and coordination of multiple processes. In Experiment 1, we investigated age-related effects on the speed of syntax selection using a syntactic priming paradigm. Both young and older adults produced target sentences quicker following syntactically related primes compared to unrelated primes, indicating that syntactic facilitation effects are preserved with age. In Experiment 2, we investigated age-related effects in syntactic planning and lexical retrieval using a planning scope paradigm: participants described moving picture displays designed to elicit sentences with either initial coordinate or simple noun phrases and, on half of the trials, the second picture was previewed. Without preview, both age groups were slower to initiate sentences with larger coordinate phrases, suggesting a similar phrasal planning scope. However, age-related differences did emerge relating to the preview manipulation: while young adults displayed speed benefits of preview in both phrase conditions, older adults only displayed speed preview benefits within the initial phrase (coordinate condition). Moreover, preview outside the initial phrase (simple condition) caused older adults to become significantly more error-prone. Thus, while syntactic planning scope appears unaffected by aging, older adults do appear to encounter problems with managing the activation and integration of lexical items into syntactic structures. Taken together, our findings indicate that healthy aging disrupts the lexical, but not the syntactic, processes involved in sentence production.

Effects of Normative Aging on Eye Movements during Reading

Substantial progress has been made in understanding the mostly detrimental effects of normative aging on eye movements during reading. This article provides a review of research on aging effects on eye movements during reading for different writing systems (i.e., alphabetic systems like English compared to non-alphabetic systems like Chinese), focused on appraising the importance of visual and cognitive factors, considering key methodological issues, and identifying vital questions that need to be addressed and topics for further investigation.

Poor working memory performance in healthy elderly adults with electroencephalographic risk of cognitive decline affects syntactic processing

OBJECTIVE

To examine the effects of working memory (WM) load and gender agreement on sentence processing as a function of the electroencephalographic risk (i.e., abnormally high values of theta absolute power) of cognitive decline in older adults.

METHODS

Event-related potentials (ERPs) were collected from Spanish speakers (22 older adults belonged to the Risk group, mean age = 67.7 years; 22 older adults belonged to the Control group, mean age = 65.2 years) while reading sentences to detect grammatical errors. Sentences varied with regard to (1) the gender agreement of the noun and adjective, where gender of the adjective either agreed or disagreed with the noun, and (2) WM load (i.e., the number of words between the noun and adjective in the sentence).

RESULTS

The Risk group showed a lower percentage of correct answers and longer reaction times than the Control group. The Risk group also showed a different pattern of ERP components, which was characterized by smaller amplitude and longer latency of the P600a component under high WM load conditions.

CONCLUSION

The findings suggest that the Risk group shows difficulties integrating information associated with the previous sentence context.

SIGNIFICANCE

The electroencephalographic risk factor of cognitive decline might be not only a predictor of but also an indicator of current decline.

The SLS-Berlin: Validation of a German Computer-Based Screening Test to Measure Reading Proficiency in Early and Late Adulthood

Reading proficiency, i.e., successfully integrating early word-based information and utilizing this information in later processes of sentence and text comprehension, and its assessment is subject to extensive research. However, screening tests for German adults across the life span are basically non-existent. Therefore, the present article introduces a standardized computerized sentence-based screening measure for German adult readers to assess reading proficiency including norm data from 2,148 participants covering an age range from 16 to 88 years. The test was developed in accordance with the children's version of the Salzburger LeseScreening (SLS, Wimmer and Mayringer, 2014). The SLS-Berlin has a high reliability and can easily be implemented in any research setting using German language. We present a detailed description of the test and report the distribution of SLS-Berlin scores for the norm sample as well as for two subsamples of younger (below 60 years) and older adults (60 and older). For all three samples, we conducted regression analyses to investigate the relationship between sentence characteristics and SLS-Berlin scores. In a second validation study, SLS-Berlin scores were compared with two (pseudo)word reading tests, a test measuring attention and processing speed and eye-movements recorded during expository text reading. Our results confirm the SLS-Berlin's sensitivity to capture early word decoding and later text related comprehension processes. The test distinguished very well between skilled and less skilled readers and also within less skilled readers and is therefore a powerful and efficient screening test for German adults to assess interindividual levels of reading proficiency.

Read, Understand, Learn, & Excel (RULE): Development and Feasibility of a Reading Comprehension Measure for Postsecondary Learners

PURPOSE

There is a lack of quick, reliable, and valid standardized reading comprehension assessments appropriate for postsecondary readers. We attempted to address this gap by designing Read, Understand, Learn, & Excel (RULE), a reading comprehension measure that employs sentence verification and recall tasks to assess reading comprehension. This article describes the exploratory study undertaken to construct RULE and then examines the preliminary concurrent validity and alternate form reliability of this measure.

METHOD

The RULE measure was first developed by designing reading stimuli, test items for the sentence verification task, and directions for the recall test for 2 forms based on previous work (Griffiths, Sohlberg, Kirk, Fickas, & Biancarosa, 2016). Thirty undergraduate students who identified themselves as typical readers were administered the RULE measure as well as the Nelson-Denny Reading Test (Brown, Fishco, & Hanna, 1993). Students also completed questionnaires and participated in informal interviews to provide information regarding study and learning habits and academic background.

RESULTS

There was preliminary evidence of alternate form reliability between the sentence verification task sets of 2 chapters of RULE (r = .38, p < .05). Preliminary evidence for concurrent validity between RULE and the Nelson-Denny Reading Test was provided by correlation coefficients in the low to moderate range (.03-.38).

CONCLUSION

RULE design and preliminary findings of concurrent validity and alternate form reliability provide "proof of concept" for an ecologically valid testing format that assesses comprehension skills appropriate for the postsecondary level. Suggestions for strengthening validity and reliability of the tool are provided, and clinical contributions of RULE are discussed.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.6987371.

Individual differences in syntactic processing: Is there evidence for reader-text interactions?

There remains little consensus about whether there exist meaningful individual differences in syntactic processing and, if so, what explains them. We argue that this partially reflects the fact that few psycholinguistic studies of individual differences include multiple constructs, multiple measures per construct, or tests for reliable measures. Here, we replicated three major syntactic phenomena in the psycholinguistic literature: use of verb distributional statistics, difficulty of object-versus subject-extracted relative clauses, and resolution of relative clause attachment ambiguities. We examine whether any individual differences in these phenomena could be predicted by language experience or general cognitive abilities (phonological ability, verbal working memory capacity, inhibitory control, perceptual speed). We find correlations between individual differences and offline, but not online, syntactic phenomena. Condition effects on reading time were not consistent within individuals, limiting their ability to correlate with other measures. We suggest that this might explain controversy over individual differences in language processing.

Aging deficits in naturalistic speech production and monitoring revealed through reading aloud

The current study investigated how aging affects production and self-correction of errors in connected speech elicited via a read aloud task. Thirty-five cognitively healthy older and 56 younger participants read aloud 6 paragraphs in each of three conditions increasing in difficulty: (a) normal, (b) nouns-swapped (in which nouns were shuffled across pairs of sentences in each paragraph), and (c) exchange (in which adjacent words in every two sentences were reversed in order). Reading times and errors increased with task difficulty, but self-correction rates were lowest in the nouns-swapped condition. Older participants read aloud more slowly, and after controlling for aging-related advantages in vocabulary knowledge, produced more speech errors (especially in the normal condition), and self-corrected errors less often than younger participants. Exploratory analysis of error types revealed that aging increased the rate of function word substitution errors (saying the instead of a), whereas younger participants omitted content words more often than did older participants. This pattern of aging deficits reveals powerful effects of vocabulary knowledge on speech production and suggests aging speakers can compensate for aging-related decline in control over speech production with their higher vocabulary knowledge and careful attention to speech planning in more difficult speaking conditions. These results suggest a model of speech production in which planning of speech is relatively automatic, whereas monitoring and self-correction are more attention-demanding, in turn leaving speech production relatively intact in aging. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A Multi-faceted Approach to Promote Comprehension of Online Health Information Among Older Adults

Purpose of the Study

Older adults' self-care often depends on understanding and utilizing health information. Inadequate health literacy among older adults poses a barrier to self-care because it hampers comprehension of this information, particularly when the information is not well-designed. Our goal was to improve comprehension of online health information among older adults with hypertension who varied in health literacy abilities.

Design and Methods

We identified passages about hypertension self-care from credible websites (typical passages). We used a multi-faceted approach to redesign these passages, revising their content, language, organization and format (revised passages). Older participants read both versions of the passages at their own pace. After each passage, they summarized the passage and then answered questions about the passage.

Results

Participants better remembered the revised than the typical passages, summarizing the passages more accurately and uptaking information more efficiently (less reading time needed per unit of information remembered). The benefits for reading efficiency were greater for older adults with more health knowledge, suggesting knowledge facilitated comprehension of information in the revised passages.

Implications

A systematic, multi-faceted approach to designing health documents can promote online learning among older adults with diverse health literacy abilities.

Electrophysiological evidence for preserved primacy of lexical prediction in aging

Young adults show consistent neural benefits of predictable contexts when processing upcoming words, but these benefits are less clear-cut in older adults. Here we disentangle the neural correlates of prediction accuracy and contextual support during word processing, in order to test current theories that suggest that neural mechanisms underlying predictive processing are specifically impaired in older adults. During a sentence comprehension task, older and younger readers were asked to predict passage-final words and report the accuracy of these predictions. Age-related reductions were observed for N250 and N400 effects of prediction accuracy, as well as for N400 effects of contextual support independent of prediction accuracy. Furthermore, temporal primacy of predictive processing (i.e., earlier facilitation for successful predictions) was preserved across the lifespan, suggesting that predictive mechanisms are unlikely to be uniquely impaired in older adults. In addition, older adults showed prediction effects on frontal post-N400 positivities (PNPs) that were similar in amplitude to PNPs in young adults. Previous research has shown correlations between verbal fluency and lexical prediction in older adult readers, suggesting that the production system may be linked to capacity for lexical prediction, especially in aging. The current study suggests that verbal fluency modulates PNP effects of contextual support, but not prediction accuracy. Taken together, our findings suggest that aging does not result in specific declines in lexical prediction.

Narrative Discourse in Young and Older Adults: Behavioral and NIRS Analyses

Discourse comprehension is at the core of communication capabilities, making it an important component of elderly populations' quality of life. The aim of this study is to evaluate changes in discourse comprehension and the underlying brain activity. Thirty-six participants read short stories and answered related probes in three conditions: micropropositions, macropropositions and situation models. Using near-infrared spectroscopy (NIRS), the variation in oxyhemoglobin (HbO₂) and deoxyhemoglobin (HbR) concentrations was assessed throughout the task. The results revealed that the older adults performed with equivalent accuracy to the young ones at the macroproposition level of discourse comprehension, but were less accurate at the microproposition and situation model levels. Similar to what is described in the compensation-related utilization of neural circuits hypothesis (CRUNCH) model, older participants tended to have greater activation in the left dorsolateral prefrontal cortex while reading in all conditions. Although it did not enable them to perform similarly to younger participants in all conditions, this over-activation could be interpreted as a compensation mechanism.

Contextual constraints on lexico-semantic processing in aging: Evidence from single-word event-related brain potentials

The current study reports the effects of accumulating contextual constraints on neural indices of lexico-semantic processing (i.e., effects of word frequency and orthographic neighborhood) as a function of normal aging. Event-related brain potentials were measured from a sample of older adults as they read sentences that were semantically congruent, provided only syntactic constraints (syntactic prose), or were random word strings. A linear mixed-effects modeling approach was used to probe the effects of accumulating contextual constraints on N400 responses to individual words. Like young adults in prior work, older adults exhibited a classic word position context effect on the N400 in congruent sentences, although the magnitude of the effect was reduced in older relative to younger adults. Moreover, by modeling single-word variability in N400 responses, we observed robust effects of orthographic neighborhood density that were larger in older adults than the young, and preserved effects word frequency. Importantly, in older adults, frequency effects were not modulated by accumulating contextual constraints, unlike in the young. Collectively, these findings indicate that older adults are less likely (or able) to use accumulating top-down contextual constraints, and therefore rely more strongly on bottom-up lexical features to guide semantic access of individual words during sentence comprehension.

The Effects of Home-Based Cognitive Training on Verbal Working Memory and Language Comprehension in Older Adulthood

Effective language understanding is crucial to maintaining cognitive abilities and learning new information through adulthood. However, age-related declines in working memory (WM) have a robust negative influence on multiple aspects of language comprehension and use, potentially limiting communicative competence. In the current study (N = 41), we examined the effects of a novel home-based computerized cognitive training program targeting verbal WM on changes in verbal WM and language comprehension in healthy older adults relative to an active component-control group. Participants in the WM training group showed non-linear improvements in performance on trained verbal WM tasks. Relative to the active control group, WM training participants also showed improvements on untrained verbal WM tasks and selective improvements across untrained dimensions of language, including sentence memory, verbal fluency, and comprehension of syntactically ambiguous sentences. Though the current study is preliminary in nature, it does provide initial promising evidence that WM training may influence components of language comprehension in adulthood and suggests that home-based training of WM may be a viable option for probing the scope and limits of cognitive plasticity in older adults.

Ageing and the misperception of words: Evidence from eye movements during reading

Research with lexical neighbours (words that differ by a single letter while the number and order of letters are preserved) indicates that readers frequently misperceive a word as its higher frequency neighbour (HFN) even during normal reading. But how this lexical influence on word identification changes across the adult lifespan is largely unknown, although slower lexical processing and reduced visual abilities in later adulthood may lead to an increased incidence of word misperception errors. In particular, older adults may be more likely than younger adults to misidentify a word as its HFN, especially when the HFN is congruent with prior sentence context, although this has not been investigated. Accordingly, to address this issue, young and older adults read sentences containing target words with and without an HFN, where the HFN was either congruent with prior sentence context or not. Consistent with previous findings for young adults, eye movements were disrupted more for words with than without an HFN, especially when the HFN was congruent with prior context. Crucially, however, there was no indication of an adult age difference in this word misperception effect. We discuss these findings in relation to the nature of misperception effects in older age.

Enhancing Older Drivers' Safety: On Effects Induced by Stereotype Threat to Older Adults' Driving Performance, Working Memory and Self-Regulation

In a study concerned with driving behaviors of older drivers (mean age 70 years) in a driving simulator, our findings indicate that telling older drivers that they are more at risk of accidents because of their age and their driving performance-related decline (i.e., exposing them to a stereotype threat concerning older drivers) severely impairs their self-regulatory skills. Moreover, our results show that this is at least partly due to exhaustion of the executive resources (older drivers under stereotype threat tended to contradict the stereotype of being slow by driving faster), appearing also through working memory overload (older drivers under stereotype threat performed markedly less well in a modular arithmetic task than drivers in the control condition). We thus complete the existing evidence that older drivers’ performance may be affected by socially-grounded factors, suggesting that simply being investigated may be enough to tax many capabilities in older people. We also propose that stereotype threat might be at least a partial explanation for why older drivers sometimes have poorer self-regulation performances after attending rehabilitation programs designed to make older drivers safer ones.

Risk for Mild Cognitive Impairment Is Associated With Semantic Integration Deficits in Sentence Processing and Memory

OBJECTIVES

We examined the degree to which online sentence processing and offline sentence memory differed among older adults who showed risk for amnestic and nonamnestic varieties of mild cognitive impairment (MCI), based on psychometric classification.

METHOD

Participants (N = 439) read a series of sentences in a self-paced word-by-word reading paradigm for subsequent recall and completed a standardized cognitive test battery. Participants were classified into 3 groups: unimpaired controls (N = 281), amnestic MCI (N = 94), or nonamnestic MCI (N = 64).

RESULTS

Relative to controls, both MCI groups had poorer sentence memory and showed reduced sentence wrap-up effects, indicating reduced allocation to semantic integration processes. Wrap-up effects predicted subsequent recall in the control and nonamnestic groups. The amnestic MCI group showed poorer recall than the nonamnestic MCI group, and only the amnestic MCI group showed no relationship between sentence wrap-up and recall.

DISCUSSION

Our findings suggest that psychometrically defined sub-types of MCI are associated with unique deficits in sentence processing and can differentiate between the engagement of attentional resources during reading and the effectiveness of engaging attentional resources in producing improved memory.

Proofreading in Young and Older Adults: The Effect of Error Category and Comprehension Difficulty

Proofreading text relies on stored knowledge, language processing, and attentional resources. Age differentially affects these constituent abilities: while older adults maintain word knowledge and most aspects of language comprehension, language production and attention capacity are impaired with age. Research with young adults demonstrates that proofreading is more attentionally-demanding for contextual errors which require integration across multiple words compared to noncontextual errors which occur within a single word. Proofreading is also more attentionally-demanding for text which is more difficult to comprehend compared to easier text. Older adults may therefore be impaired at aspects of proofreading which require production, contextual errors, or more difficult text. The current study tested these possibilities using a naturalistic proofreading task. Twenty-four young and 24 older adults proofread noncontextual (spelling) and contextual (grammar or meaning) errors in passages that were easier or more difficult to comprehend. Older adults were preserved at proofreading spelling errors, but were impaired relative to young adults when proofreading grammar or meaning errors, especially for difficult passages. Additionally, older adults were relatively spared at detecting errors compared to correcting spelling errors, in keeping with previous research. Age differences were not attributable to individual differences in vocabulary knowledge or self-reported spelling ability.

The Potential for Literacy to Shape Lifelong Cognitive Health

In light of population aging, an understanding of factors that promote lifelong cognitive resilience is urgent. There is considerable evidence that education early in the life span, which promotes the development of literacy skills, leads to cognitive health and longevity, but the ways in which activity engagement in later adulthood affects long-term cognitive health is not well understood. The literature on cognitive training focusing on ability and skill training has not only demonstrated the existence of plasticity into late life but also shows that improvements are very tightly tied to the abilities trained. The rush to apply ability training to promote cognitive health has produced a vibrant “brain training” industry that neglects the very limited evidence for transfer to significant functional outcomes. Recent evidence on the neural substrates of reading, language comprehension, and discourse processing, as well as on the lifelong effects of literacy engagement in special populations, hints that reading may well be a “whole-brain exercise” with the potential to promote cognitive health. Such findings suggest promise for education-based approaches to promote lifelong cognitive health, calling for (a) societal investment in science at the interface of education and health, in particular to understand the mechanisms through which literacy engagement affects mind, brain, and physical health through the life span, and (b) innovation in developing models of life span education.

Mood and cognition in healthy older European adults: the Zenith study

BACKGROUND

The study aim was to determine if state and trait intra-individual measures of everyday affect predict cognitive functioning in healthy older community dwelling European adults (n = 387), aged 55-87 years.

METHODS

Participants were recruited from centres in France, Italy and Northern Ireland. Trait level and variability in positive and negative affect (PA and NA) were assessed using self-administered PANAS scales, four times a day for four days. State mood was assessed by one PANAS scale prior to assessment of recognition memory, spatial working memory, reaction time and sustained attention using the CANTAB computerized test battery.

RESULTS

A series of hierarchical regression analyses were carried out, one for each measure of cognitive function as the dependent variable, and socio-demographic variables (age, sex and social class), state and trait mood measures as the predictors. State PA and NA were both predictive of spatial working memory prior to looking at the contribution of trait mood. Trait PA and its variability were predictive of sustained attention. In the final step of the regression analyses, trait PA variability predicted greater sustained attention, whereas state NA predicted fewer spatial working memory errors, accounting for a very small percentage of the variance (1-2%) in the respective tests.

CONCLUSION

Moods, by and large, have a small transient effect on cognition in this older sample.

An evaluation of reading comprehension of expository text in adults with traumatic brain injury

PURPOSE

This project was conducted to obtain information about reading problems of adults with traumatic brain injury (TBI) with mild-to-moderate cognitive impairments and to investigate how these readers respond to reading comprehension strategy prompts integrated into digital versions of text.

METHOD

Participants from 2 groups, adults with TBI (n = 15) and matched controls (n = 15), read 4 different 500-word expository science passages linked to either a strategy prompt condition or a no-strategy prompt condition. The participants' reading comprehension was evaluated using sentence verification and free recall tasks.

RESULTS

The TBI and control groups exhibited significant differences on 2 of the 5 reading comprehension measures: paraphrase statements on a sentence verification task and communication units on a free recall task. Unexpected group differences were noted on the participants' prerequisite reading skills. For the within-group comparison, participants showed significantly higher reading comprehension scores on 2 free recall measures: words per communication unit and type-token ratio. There were no significant interactions.

CONCLUSION

The results help to elucidate the nature of reading comprehension in adults with TBI with mild-to-moderate cognitive impairments and endorse further evaluation of reading comprehension strategies as a potential intervention option for these individuals. Future research is needed to better understand how individual differences influence a person's reading and response to intervention.

Memory and comprehension for health information among older adults: distinguishing the effects of domain-general and domain-specific knowledge

While there is evidence that knowledge influences understanding of health information, less is known about the processing mechanisms underlying this effect and its impact on memory. We used the moving window paradigm to examine how older adults varying in domain-general crystallised ability (verbal ability) and health knowledge allocate attention to understand health and domain-general texts. Participants (n = 107, age: 60-88 years) read and recalled single sentences about hypertension and about non-health topics. Mixed-effects modelling of word-by-word reading times suggested that domain-general crystallised ability increased conceptual integration regardless of text domain, while health knowledge selectively increased resource allocation to conceptual integration at clause boundaries in health texts. These patterns of attentional allocation were related to subsequent recall performance. Although older adults with lower levels of crystallised ability were less likely to engage in integrative processing, when they did, this strategy had a compensatory effect in improving recall. These findings suggest that semantic integration during reading is an important comprehension process that supports the construction of the memory representation and is engendered by knowledge. Implications of the findings for theories of text processing and memory as well as for designing patient education materials are discussed.

Age-related sparing of parafoveal lexical processing

BACKGROUND/STUDY CONTEXT: This study examined the role of increased adult age in the processing of lexical information presented in foveal and parafoveal areas of the retina (right and left visual fields). Previous research has shown that older adults are able to compensate for age-related changes though a highly practiced skill (Salthouse, 1984 , Journal of Experimental Psychology: General, 113, 345-371). The authors examined if older adults would show a lexical-only parafoveal benefit.

METHODS

Two experiments were conducted on both younger and older adults. In Experiment 1, participants completed a lexical decision task that presented words in the fovea and parafovea in both visual fields. In Experiment 2, the task was a font discrimination task (nonlexical) with foveal and parafoveal presentation in both visual fields.

RESULTS

In Experiment 1, the authors observed word frequency effects for both foveal and right parafoveal presentation locations. This effect was present for both older and younger adults. Experiment 2 was a font discrimination task and there was no right parafoveal advantage for older adults on this task, suggesting that this effect observed in Experiment 1 was lexical in nature due to the highly overlearned nature of word recognition.

CONCLUSION

These results suggest that older adults may compensate for slower encoding time in reading by encoding text to the right of fixation more efficiently than younger adults. This suggests an asymmetrical change in the useful field of view that is lexical in nature.

Tracking reading: dual task costs of oral reading for young versus older adults

A digital pursuit rotor was used to monitor oral reading costs by time-locking tracking performance to the auditory wave form produced as young and older adults were reading out short paragraphs. Multilevel modeling was used to determine how paragraph-level predictors of length, grammatical complexity, and readability and person-level predictors such as speaker age or working memory capacity predicted reading and tracking performance. In addition, sentence-by-sentence variation in tracking performance was examined during the production of individual sentences and during the pauses before upcoming sentences. The results suggest that dual tasking has a greater impact on older adults' reading comprehension and tracking performance. At the level of individual sentences, young and older adults adopt different strategies to deal with grammatically complex and propositionally dense sentences.

Modelling longitudinal changes in older adults' memory for spoken discourse: findings from the ACTIVE cohort

Episodic memory shows substantial declines with advancing age, but research on longitudinal trajectories of spoken discourse memory (SDM) in older adulthood is limited. Using parallel process latent growth curve models, we examined 10 years of longitudinal data from the no-contact control group (N = 698) of the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomised controlled trial in order to test (1) the degree to which SDM declines with advancing age, (2) the predictors of these age-related declines and (3) the within-person relationship between longitudinal changes in SDM and longitudinal changes in fluid reasoning and verbal ability over 10 years, independent of age. Individuals who were younger, were White, had more years of formal education, were male and had better global cognitive function and episodic memory performance at baseline demonstrated greater levels of SDM on average. However, only age at baseline uniquely predicted longitudinal changes in SDM, such that declines accelerated with greater age. Independent of age, within-person decline in reasoning ability over the 10-year study period was substantially correlated with decline in SDM (r = .87). An analogous association with SDM did not hold for verbal ability. The findings suggest that longitudinal declines in fluid cognition are associated with reduced spoken language comprehension. Unlike findings from memory for written prose, preserved verbal ability may not protect against developmental declines in memory for speech.

Aging and individual differences in binding during sentence understanding: evidence from temporary and global syntactic attachment ambiguities

We report an investigation of aging and individual differences in binding information during sentence understanding. An age-continuous sample of adults (N=91), ranging from 18 to 81 years of age, read sentences in which a relative clause could be attached high to a head noun NP1, attached low to its modifying prepositional phrase NP2 (e.g., The son of the princess who scratched himself/herself in public was humiliated), or in which the attachment site of the relative clause was ultimately indeterminate (e.g., The maid of the princess who scratched herself in public was humiliated). Word-by-word reading times and comprehension (e.g., who scratched?) were measured. A series of mixed-effects models were fit to the data, revealing: (1) that, on average, NP1-attached sentences were harder to process and comprehend than NP2-attached sentences; (2) that these average effects were independently moderated by verbal working memory capacity and reading experience, with effects that were most pronounced in the oldest participants and; (3) that readers on average did not allocate extra time to resolve global ambiguities, though older adults with higher working memory span did. Findings are discussed in relation to current models of lifespan cognitive development, working memory, language experience, and the role of prosodic segmentation strategies in reading. Collectively, these data suggest that aging brings differences in sentence understanding, and these differences may depend on independent influences of verbal working memory capacity and reading experience.

The Effects of Aging on Auditory Processing and Cognition

Purpose

To briefly summarize existing data on effects of aging on auditory processing and cognition.

Method

A narrative review summarized previously reported data on age-related changes in auditory processing and in cognitive processes with a focus on spoken language comprehension and memory. In addition, recent data on effects of lifestyle engagement on cognitive processes are reviewed.

Results

There is substantial evidence for age-related declines in both auditory processes and cognitive abilities. Accumulating evidence supports the idea that the perceptual burden associated with hearing loss impacts the processing resources available for good comprehension and memory for spoken language, particularly in older adults with limited resources. However, many language abilities are well preserved in old age, and there is considerable variability among individuals in cognitive performance across the life span. The authors discuss how lifestyle factors and socioemotional engagement can help to offset declining abilities.

Conclusions

It is clear that spoken language processing in adulthood and old age is affected by changes in perceptual, cognitive, and socioemotional processes as well as by interactions among these changes. Recommendations for further research include studying speech comprehension in complex conditions, including meaningful-connection spoken language, and tailoring clinical interventions based on patients' auditory processing and cognitive abilities along with their individual socioemotional demands.

The Effects of Ageing and Visual Noise on Conceptual Integration during Sentence Reading

The effortfulness hypothesis implies that difficulty in decoding the surface form, as in the case of age-related sensory limitations or background noise, consumes the attentional resources that are then unavailable for semantic integration in language comprehension. Because ageing is associated with sensory declines, degrading of the surface form by a noisy background can pose an extra challenge for older adults. In two experiments, this hypothesis was tested in a self-paced moving window paradigm in which younger and older readers’ online allocation of attentional resources to surface decoding and semantic integration was measured as they read sentences embedded in varying levels of visual noise. When visual noise was moderate (Experiment 1), resource allocation among young adults was unaffected but older adults allocated more resources to decode the surface form at the cost of resources that would otherwise be available for semantic processing; when visual noise was relatively intense (Experiment 2), both younger and older participants allocated more attention to the surface form and less attention to semantic processing. The decrease in attentional allocation to semantic integration resulted in reduced recall of core ideas in both experiments, suggesting that a less organized semantic representation was constructed in noise. The greater vulnerability of older adults at relatively low levels of noise is consistent with the effortfulness hypothesis.

Thinking ahead or not? Natural aging and anticipation during reading

Despite growing evidence of young adults neurally pre-activating word features during sentence comprehension, less clear is the degree to which this generalizes to older adults. Using ERPs, we tested for linguistic prediction in younger and older readers by means of indefinite articles (a's and an's) preceding more and less probable noun continuations. Although both groups exhibited cloze probability-graded noun N400s, only the young showed significant article effects, indicating probabilistic sensitivity to the phonology of anticipated upcoming nouns. Additionally, both age groups exhibited prolonged increased frontal positivities to less probable nouns, although in older adults this effect was prominent only in a subset with high verbal fluency (VF). This ERP positivity to contextual constraint violations offers additional support for prediction in the young. For high VF older adults, the positivity may indicate they, too, engage in some form of linguistic pre-processing when implicitly cued, as may have occurred via the articles.

The effects of age on the strategic use of pitch accents in memory for discourse: a processing-resource account

In two experiments, we investigated age-related changes in how prosodic pitch accents affect memory. Participants listened to recorded discourses that contained two contrasts between pairs of items (e.g., one story contrasted British scientists with French scientists and Malaysia with Indonesia). The end of each discourse referred to one item from each pair; these references received a pitch accent that either denoted contrast (L + H* in the ToBI system) or did not (H*). A contrastive accent on a particular pair improved later recognition memory equally for young and older adults. However, older adults showed decreased memory if the other pair received a contrastive accent (Experiment 1). Young adults with low working memory performance also showed this penalty (Experiment 2). These results suggest that pitch accents guide processing resources to important information for both older and younger adults but diminish memory for less important information in groups with reduced resources, including older adults.

Aging, parafoveal preview, and semantic integration in sentence processing: testing the cognitive workload of wrap-up

The current study investigated the degree to which semantic-integration processes ("wrap-up") during sentence understanding demand attentional resources by examining the effects of clause and sentence wrap-up on the parafoveal preview benefit (PPB) in younger and older adults. The PPB is defined as facilitation in processing word N + 1, based on information extracted while the eyes are fixated on word N, and is known to be reduced by processing difficulty at word N. Participants read passages in which word N occurred in a sentence-internal, clause-final, or sentence-final position, and a gaze-contingent boundary-change paradigm was used to manipulate the information available in parafoveal vision for word N + 1. Wrap-up effects were found on word N for both younger and older adults. Early-pass measures (first-fixation duration and single-fixation duration) of the PPB on word N + 1 were reduced by clause wrap-up and sentence wrap-up on word N, with similar effects for younger and older adults. However, for intermediate (gaze duration) and later-pass measures (regression-path duration, and selective regression-path duration), sentence wrap-up (but not clause wrap-up) on word N differentially reduced the PPB of word N + 1 for older adults. These findings suggest that wrap-up is demanding and may be less efficient with advancing age, resulting in a greater cognitive processing load for older readers.