ArticleBMC public health2026
Mental health promotion in municipal settings - promoters and inhibitors in the implementation of ABC for good mental health in Norway.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health promotion has become an increasing priority in Norwegian public health work, particularly in response to rising mental health challenges. The Act-Belong-Commit (ABC) framework was piloted in three municipalities in Trøndelag county, Central Norway, before being adopted as a national campaign in 2025. Despite its rapid rollout, little is known about how such public mental health campaigns can be implemented and their potential for creating health-promoting settings. In this article we therefore identify the inhibiting and promoting factors in the implementation of ABC and ask if ABC can create more mental health promoting settings.
methodThis qualitative implementation study draws on semi-structured interviews conducted between May and October 2025 with 16 informants across four municipalities (two pilot, two non-pilot) in Trøndelag county, Norway. Data were analysed using thematic analysis, identifying five themes: background and timing, organisational structure, actions and activities, communication and collaboration, and material and evaluation.
resultsPromoting factors included timely uptake, leadership support, cross-sectoral public health teams, and integration into existing strategies and work processes. Inhibiting factors included organisational instability, overreliance on event-based activities, insufficient collaboration with volunteer organisations, and a consistent absence of systematic evaluation across all municipalities.
conclusionsABC, when implemented successfully, offers a flexible, recognisable, and accessible framework that can contribute to healthier settings for both employees and citizens. ABC is most successful when integrated into already existing systematic public health strategies. Successful implementation requires structural anchoring, long-term commitment, and robust evaluation mechanisms to ensure sustainable impact.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.