| Literature DB >> 33140699 |
Tess Langfield1, Rachel Pechey1, Mark A Pilling1, Theresa M Marteau1.
Abstract
Much of the global burden of disease is attributable to unhealthy behaviour, including excessive consumption of alcohol and sugar-sweetened beverages. Developing effective methods to change these drinking behaviours could inform policies to improve population health. In line with an increasing interest in environmental-level interventions - i.e., changing the environment in which a behaviour occurs in order to change the behaviour of interest - this review first describes the existing evidence of the impact of glassware design (including capacity and shape) on drinking behaviours (e.g., at the 'micro' level - including sip size, as well as at the macro level - including amount consumed). The roles of two sets of possible underlying mechanisms - perception and affordance - are also explored. Finally, this review sets out a provisional typology of drinking behaviours to enable more systematic approaches to the study of these behaviours. While there is a paucity of evidence - in particular on measures of consumption - this growing evidence base suggests promising targets for novel interventions involving glassware design to reduce the consumption of drinks that harm health.Trial registration: ISRCTN.org identifier: ISRCTN10456720.Entities:
Keywords: Choice architecture; affordance; drinking; glassware design; micro-drinking behaviours; perceptual effects
Mesh:
Year: 2020 PMID: 33140699 PMCID: PMC8884253 DOI: 10.1080/17437199.2020.1842230
Source DB: PubMed Journal: Health Psychol Rev ISSN: 1743-7199
Figure 1.Logic model to organise evidence on the impacts of drinks containers on micro- and macro- drinking behaviours, with two proposed mechanisms: perception and affordance.
Figure 2.Image to depict the midpoints of 330 ml portions in outward-sloped and straight-sided glasses, as in Langfield et al. (2018) and Langfield et al. (2020).
Figure 3.Plots to show affordance by glass shape of volume remaining (%) by angle of tilt. ‘A’ illustrates the relationship with glass dimensions as used by Langfield et al., 2018; Study 1 (Langfield et al., 2020). ‘B’ illustrates the relationship with more extreme dimensions.
Typology of macro- and micro- drinking behaviours.
| Behaviour | Definition | Measurement | Example references | |
|---|---|---|---|---|
| Amount that is consumed (e.g., ml). Also referred to as | Measure the volume consumed (ml), for example by weighing the drink(s) before and after consumption. | Kersbergen et al. ( | ||
| Amount that is purchased. This can be used as a proxy for amount consumed (particularly in field studies with no direct measurement of behaviour). | Calculate the amount spent (e.g., £), and transform into volume (ml) purchased. | Pechey et al. ( | ||
| Amount that is poured (e.g., ml). This can be a self-defined serving, a specific volume (e.g., ‘standard drink’). Can be used as a proxy for consumption (or, combined with number of drinks to calculate b amount consumed) | Measure the volume poured (ml), for example by weighing the drink(s) before and after the pour, or by using measuring cylinders. | Wansink and Van Ittersum ( | ||
| Number of drinks consumed. This can be calculated for a given consumption occasion (e.g., how many times people pour themselves another glass) or across consumption occasions (e.g., number of drinks per week). Can be used as a proxy for consumption (or, combined with amount poured or served to calculate amount consumed). | Count the number of drinks served, poured, purchased, or consumed. For example, observe and count the total number of beverages (e.g., pints of beer) sold over an evening. | |||
| Time taken to consume a drink (e.g., min). Also referred to as | Measure the time it takes to consume a given drink (e.g., with a stopwatch, or from coding video recordings). | Attwood et al. ( | ||
| Size of sip (ml). Also known as sip volume, bolus volume. | To measure exact sip sizes, hidden weighing scales can be used, or participants can be asked to spit into a cup. To determine average sip size, divide total volume consumed by number of sips, which can be counted from video recordings of drinking sessions. | Langfield et al. ( | ||
| Number of sips taken to consume a drink. Also known as | Can count number of sips from video recordings of drinking sessions. | Attwood et al. ( | ||
| Rate of sipping (e.g., ml/s). | Mean sip size is divided by total time spent drinking, to give sip rate. | Tomaszewski et al. ( | ||
| Time taken to drink a sip. Related concepts are | Can measure sip durations using video recordings of drinking sessions, and coding when each sip is initiated, and when it ends. | Attwood et al. ( | ||
| Length of time between sips. Also known as | Can measure interval durations using video recordings of drinking sessions, and coding when each sip ends, and when the next is initiated. | Attwood et al. ( | ||
| Dynamic pattern of drinking rate across the drinking period. Also known as | Extract height information from video recordings and map height of liquid:glass to volume, based on a model of volume by height ratios. Alternatively use a hidden weighing scale (for example, in a drinks coaster), to plot the weight of the glass periodically on a graph. Helpful to plot drinking trajectories within a standardised period, if comparing between individuals. Some example drinking trajectories include: ‘ | Cliceri et al. ( | ||
| Number of swallows taken during the consumption of a drink. Note – may differ from number of sips – e.g., a large sip may be swallowed in two gulps. | Microphone attached to throat can be used, to identify timing of swallow (and thus the number of swallows in a given time period). | Bennett et al. ( |
Note: Macro-drinking behaviour: measures of drinking outcomes involving consumption, or proxies for consumption. Micro-drinking behaviour: a form of short-term influence on drinking. Also known as: drinking topography, oral processing behaviours, microstructure of drinking behaviour.