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AbstractIn times of crisis, emerging technology can pose major challenges for regulators. They must deal with great uncertainty and urgency related to both the crisis and the technology. To understand such situations, this article studies the revelatory case of privacy regulation of a contact‐tracing application called Smittestopp, created in Norway during the COVID‐19 crisis. Based on public and organizational documents and 48 interviews, the analysis shows that the Norwegian Data Protection Authority faced several options for regulatory intervention throughout the crisis, and adapted its approach based on intra‐crisis experience, regulatees' responses, and different levels of uncertainty and urgency. Building on these findings, the study formulates propositions regarding the regulation of emerging technology during a crisis and regulatory agencies' use of rule‐based, idea‐based, and norm‐based interventions. This study provides insight into how these three types of intervention relate to different aspects of a crisis situation. Furthermore, it stresses the importance of idea‐based intervention as a key site of analysis in studying technology that emerges during a crisis.

In recent decades, public organizations have undergone significant changes related to digitalization. These changes are the result of multiple, varying influences, such as external institutional feedback. The issue of digitalization feedback development in public organizations opens the discussion on how to study digitalization over time. In this article, we consider whether the method of quantitative text analysis can be used to observe the same administrative trends in digitalization as found using other methods and data sources in existing research. After conducting a co-occurrence analysis of documents from the Norwegian Customs Agency (NCA) over a period of 20 years, we found that the NCA's digitalization-related language changed in this period and that user feedback was the most frequently emphasized kind of external feedback. These observations are consistent with the literature, which shows that the use of co-occurrence methodology to study public administration has a positive role in future research. Points for practitioners Quantitative text analysis is an effective method to observe administrative trends. Findings of the study corroborate with previous research showing that current administrative trends emphasize collaboration between public organizations and citizen participation as central development features of digitalization of public organizations. The co-occurrence analysis has some limitations and needs to be further improved to develop theory and identify new areas of public administration digitalization.

Abstract This paper examines the crisis management learning by the Norwegian government after the COVID-19 pandemic by focusing on types of learning based on the concepts of governance capacity and legitimacy. Using unique interview data with 36 elite administrative and political executives in Norway, the study finds varied learning by the involved actors, and most learning about coordination between ministries and agencies, which are amplified by the lack of knowledge related to analytical capacity. The study contributes to advance the analytical understanding of crisis management learning and provides insight into what a high performing government in the pandemic attempts to learn.

Although significant strides have been made regarding the relationship between urban structure and travel, some doubt appears to be lingering concerning the impacts of polycentric urban development. For example, the debate on whether a polycentric or monocentric workplace location pattern is favorable for reducing negative environmental effects from transportation has not been entirely settled. This study intends to contribute to clearing up some of the misconceptions by focusing on the implications of spatial distribution of jobs on commuting patterns among employees within the Oslo metropolitan area. Results show a strong tendency for a higher share of car commuting among employees working in suburban workplaces. This pattern persists also for suburban workplaces located close to suburban transit nodes. The share of transit commuters shows the opposite pattern. Commuting distances also tend to increase the farther from the city center the workplace is located. These conclusions are based on cross-sectional and quasi-longitudinal survey data as well as semi-structured in-depth interviews of workers, including several interviewees who had changed their workplace locations. To our knowledge, this is the first mixed-methods study on the influence of workplace location on commuting behavior. The results raise doubt about the appropriateness of polycentric intra-metropolitan workplace development as a strategy for sustainable mobility.

Politicians can use social media to prompt citizens to engage by means of calls to action—statements, often in imperative form, that explicitly encourage audiences to take immediate action. This study makes a twofold contribution to this field: (1) Theoretically, we relate three factors shaping social media campaigns (audiences, affordances, genres) to calls to action related to three main campaign functions (information, mobilization, interaction). (2) Empirically, we show the applicability of this framework to systematic platform comparisons in the Western European context, taking the use of Facebook, Instagram, and Twitter by political actors in Norway as an example. Conducting a standardized manual content analysis, we find that calls for certain kinds of action are more common than others, probably related to shortage of time and resources in election campaigns. Which calls to action are used is clearly affected by the platforms on which they are published.

<b><i>Introduction:</i></b> Patients addicted to alcohol or drug often have additional unhealthy lifestyles, adding to the high mortality and morbidity in this patient group. Therefore, it is important to consider lifestyle interventions as part of the usual addiction treatment. <b><i>Objective:</i></b> The aim was to identify predictors of successful changes in lifestyle risk factors among patients in treatment for alcohol or drug addiction. <b><i>Methods:</i></b> We conducted a secondary analysis of a trial using a 6-week intensive integrated lifestyle intervention: The very integrated program (VIP). Patients were recruited in Addiction Centres Malmö and Psychiatry Skåne, Sweden. The primary outcome was successful changes in lifestyle, measured as quitting tobacco, exercising 30 min per day, and not being over- or underweight after 6 weeks and 12 months. <b><i>Results:</i></b> A total of 212 patients were included in the RCT, and 128 were included in this secondary analysis: 108 at 6 weeks and 89 at 12 months of follow-up. A total of 69 patients were respondents at both follow-ups. The follow-up rates were 51 and 42%, respectively. More education, having at least 2 lifestyle risk factors and having a high quality of life were predictors of a successful change in lifestyle after 6 weeks. After 12 months, the predictors for a successful outcome were having 3 or more risk factors, while an education level up to 3 years was a negative predictor. <b><i>Conclusions:</i></b> Having several unhealthy lifestyles in addition to alcohol and drug addiction was a significant predictor of successful lifestyle changes in the short- and long term after the VIP for lifestyle interventions. Likewise, education was significant. The results should be considered in future development and research among this vulnerable group of patients.

Highlights: Some of the greatest potential of the UGAs (urban-growth agreements) is found in their regional ambition. Ability differences between municipalities help explaining implementation barriers. UGA can be an intervening stage preventing meta-policy from being toothless locally. It is important that UGAs create governance arenas with internal accountability.

Poul Jennum,1,2 Philip Tønnesen,1 Rikke Ibsen,3 Jakob Kjellberg4 1Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Glostrup Hospital, Copenhagen, Denmark; 2Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark; 3itracks, Aarhus, Denmark, 4Danish National Institute for Local and Regional Government Research, Copenhagen, Denmark Background: More information is needed about the effect on mortality of continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA), especially in women. Methods: We employed a historical cohort study design, using data from 25,389 patients with a diagnosis of OSA selected from the Danish National Patient Registry for the period 1999–2009. We used Cox proportional hazard function to evaluate the all-cause mortality from OSA in middle-aged and elderly males and females who were treated, or not, with CPAP. Results: Female OSA patients had a lower mortality than males, irrespective of whether they received CPAP treatment. CPAP treatment improved survival, as illustrated by the hazard ratio of 0.62 (P<0.001). This effect was dependent on gender: CPAP had no significant effect on 20- to 39-year-old males and females, but the overall mortality in this age group was small. Survival was increased by CPAP in 40- to 59-year-old and ≥60-year-old males, but no such effect was observed in females. Positive predictors of survival were young age, female gender, higher educational level, and low 3-year prior comorbidity as estimated by the Charlson Comorbidity Index. Negative predictors for survival were male gender, age ≥60 years, no CPAP treatment, prior comorbidity, and low educational level. Conclusion: CPAP therapy is associated with reduced all-cause mortality in middle-aged and elderly males, but no significant effect was found in females. Keywords: middle age, elderly, gender, mortality

This paper involves a comparative study of policymaking related to urban transport in the Gothenburg and Oslo regions. It sets out to show how strong climate leadership relates to the integration of policy measures and governance systems. Methodologically, we apply document analysis and qualitative interviews with key informants. Our clearest finding is the importance of the city's contextual governance framework for integrative climate leadership. The strong components of the leadership in Oslo—involving both horizontal and upward coordination—rely on a well-developed governance framework with operationalised goals, strategies and steering tools. This enables them to utilise multiple types of climate leadership. This contrasts with the lower degree of integration and defensiveness in Gothenburg, in terms of willingness to use effective but politically sensitive policy measures.