42
Urinary stone disease is common, associated with substantial morbidity, has a high recurrence rate, and affects quality of life.1,2 Consumption of large volumes of fluids is a foundational strategy for preventing stone formation,3 but adherence rates to this advice have been difficult to achieve in routine care.4 Patients frequently report practical, behavioural, and environmental barriers that hinder sustained behaviour change,5,6 and evidence regarding strategies to support long-term adherence have been scarce.