Abstract

Introduction: This synthesis addresses the psychology of habits in hydration behavior, and presents recent insights about water drinking habits. Habits play a key role in most health behavior, and they allow us to act automatically and without much deliberation or effort. Habits also play a key role in hydration behavior, and are among the strongest predictors of the consumption of water, sugar-sweetened beverages (SSBs), hot beverages, and alcoholic drinks. Methods: We synthesized novel findings from recent in-depth qualitative interviews, a qualitative survey, and a quantitative survey on the role of habits in the consumption of water and sugar-sweetened beverages. Results: Qualitative data show that water drinking is not a simple behavior, and reward plays an important role in water drinking. Participants described numerous barriers to drinking water, including forgetting, lack of access, perceived effort, and others. In addition, our analyses show that water drinking habits are unlikely to emerge or be maintained unless consumers expect experiencing reward from drinking water, for example, because of its taste, cognitive, or physical consequences. Our quantitative study of the effect of the UK pandemic lockdown on drinking behavior points to the effects of reward in drinking habits as well. Situations that typically afford the consumption of SSBs and water outside of the home (e.g., eating out, socializing, parties for SSBs, gym, office, and travel for water) were less frequent during lockdown. Nevertheless, overall consumption of SSBs, but not water, increased in this period, especially among strongly habitual SSB consumers. This was driven by SSB consumption at home, suggesting that participants established new, rewarding consumption habits when their typical consumption situations had disappeared. Conclusion: These findings suggest that experiencing reward from consumption is essential in hydration habits, which may further inform applications to increase healthy hydration.

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