Program Modifications Research Articles

Evaluation of WHO Measles Eradication Programme for the European Region of 53 Countries with Emphasis on Poland in the Years 2003–2014

Background: The vaccination programmes after the 2nd World War and the application of safe and effective vaccines were expected to eliminate infectious diseases within the World Health Organization (WHO) European Region. However, epidemiological indexes show isolated cases and local epidemiology outbreaks of viral measles, that draw attention to re-evaluate the effectiveness and obstacles of infectious disease eradication programmes. Methodology: This study analyses the available Polish governmental epidemiological data concerning the WHO European Region for the years 2003–2014 and evaluates the effectiveness of the WHO Measles Eradication Programme implementation, since 2001. Most of these epidemiological data are either available in Polish or scattered in governmental reports only. Thus, we have compiled selected available data to present an overview focusing on Poland’s measles epidemiological situation. Results: The analysis of the available data clearly shows that infection cases of measles are on the rise in the European Region or are steady at a relatively high level depending on the country. The critical factors to prevent measles are maintaining a vaccination level at a minimum of 95% using two doses of MMR, adequate infection detection, rapid reporting, controlling and enforcing identification, and mass media campaigns to inform societies about the necessity of measles vaccination and the safety of using MMR. Conclusions: Besides the current SARS-CoV-2 pandemics, measles is possibly the most dominating infectious disease on the rise in the European Region, including Poland. The eradication programme modifications to increase its effectiveness are of upmost importance, as measles is one of the most infectious diseases with acute syndromes, especially affecting children.

An Examination of an Online, Asynchronous Social Justice Program With Undergraduate Communication Sciences and Disorders Students

Purpose: The study aimed to determine whether an online asynchronous program can positively influence undergraduate communication sciences and disorders students' attitudes, beliefs, and actions toward advancing social justice. Method: The study employed a mixed-method design. Participants included 18 undergraduate students from two state universities and one private university, with 14 completing the program. Participants completed the program over 12 weeks via the CANVAS platform. Quantitative data were collected using the Social Justice Scale (SJS), which assesses attitudes, perceived behavioral control, subjective norms, and intentions to act toward social justice. Wilcoxon matched-pair signed-ranks tests were used to analyze pre- and postprogram SJS scores. Qualitative data were gathered from students' responses to discussion prompts within the program, and thematic analysis was conducted to identify emerging views of social justice. Results: A significant difference with a large effect size was observed for the Subjective Norms subscale. Item analysis indicated a significant difference in one of four subscale items (i.e., “Other people around me are engaged in activities that address social injustices”). Qualitative analysis revealed three themes: (a) importance of social identity, equity, justice; (b) spark of action; and (c) we are all in it together. Conclusions: The Social Justice program shows promise in enhancing students' recognition of how professionals in their environment play a role in social justice activity and in sparking a commitment to action among some participants. However, program modifications are needed to increase students' action orientation to social justice.

Control System Design for 3 Storey Elevator Using PLC OPTA FINDER

Elevators are a crucial vertical transportation system in multi-story buildings, and the use of an appropriate control system can enhance operational efficiency, comfort, and safety. This study aims to design a control system for a 3-floor elevator using a Programmable Logic Controller (PLC) OPTA FINDER, which offers advantages in flexibility and ease of programming. The design process involved creating a control system schematic, programming with ladder diagrams, and testing on a small-scale elevator model. The test results demonstrated that the system could operate the elevator with fast and accurate response in detecting floor positions, controlling automatic doors, and responding to emergency conditions. Furthermore, the PLC OPTA FINDER proved reliable in managing elevator system components and facilitating program modifications without requiring hardware changes. This control system also contributes to energy efficiency through optimized motor speed regulation. Thus, the implementation of the PLC OPTA FINDER provides an effective and safe solution for modern elevator control systems.

Caregiver perceptions of usual care home programs for persons with acquired brain injury: a qualitative descriptive study.

The study explores caregiver perceptions of home programs for clients with acquired brain injury based on current clinical care after transition to the community. A qualitative descriptive study. Within the community, post inpatient rehabilitation. A convenience sample of eight caregivers of clients with acquired brain injury from one clinical site. All participants spoke English, were between the ages of 18 and 85 years, had no neurodegenerative disorders, and self-identified as caregivers. Two nested semi-structured interviews were completed post-discharge from an inpatient rehabilitation facility. All interviews were audio recorded and transcribed. Qualitative data analysis was performed utilizing MAXQDA© software, consensus coding, and abstraction of themes. Two themes with subsequent subthemes were identified: (1) Systems, Roles, and Responsibilities Influenced Caregivers' Perceptions of Home Program and Recovery Outlook and (2) Caregivers' Home Program Experience. The first theme addresses topics of caregiver roles and responsibilities, system supports and barriers, and their general outlook on recovery. Within the second theme, results provide a chronological description of home program training, use, and modification. A caregiver's outlook on the care receiver's recovery and home program implementation is influenced by the burden of responsibilities, and system-level supports and barriers. The home program experience of the caregivers was reported to involve limited but satisfactory training. Caregivers saw the value in home programs and advised others to engage in them. Future programs should encourage healthcare providers to provide explicit instruction to the caregiver about their intrinsic value to home program implementation and adherence.

Individual Behavioral Syndromes and Shoal Characteristics in Farmed and Wild Acrossocheilus fasciatus

This study investigates the individual behavioral syndromes and shoal characteristics of farmed and wild populations of the cyprinid Acrossocheilus fasciatus to elucidate the factors influencing the efficacy of fish stock enhancement. We examined two wild populations from Quzhou and Lishui, in Zhejiang Province, China, and one farmed population from the same geographical location as the Quzhou wild population. Individual behavioral syndromes were thoroughly evaluated alongside shoal characteristics. Results indicated that farmed A. fasciatus exhibited greater boldness, exploratory behavior, and sociability compared to their wild counterparts. Wild populations demonstrated distinct behavioral traits, with the Quzhou population showing reduced locomotor activity and sociability, and the Lishui population displaying timidity. Shoal analysis revealed that wild fish had higher cohesion and shoal synchronization compared to farmed fish. Additionally, mixed groups exhibited intermediate locomotor behaviors but decreased cohesion, particularly in the Quzhou population. These findings underscore significant behavioral differences between farmed and wild fish, as well as among wild fish from different geographical locations, emphasizing the need for tailored training and environmental modifications in stock enhancement programs to improve survival.

Identifying barriers and potential solutions to improve equitable access to community eye services: an exploratory sequential mixed methods study protocol

IntroductionAccess to care varies by sociodemographic group, with some groups facing higher barriers to care than others. This study will use novel methods to explore barriers and potential solutions as...

China “striving for achievement” in the humanitarian space?

ABSTRACT The scholarship on Chinese foreign policy has extensively discussed the shift from ‘keeping a low profile’ to ‘striving for achievement’ under President Xi Jinping. However, humanitarian engagement has been under-appreciated in the discussion. This article attempts to address this gap by examining how China’s humanitarian policy and actions have become different, which is pertinent to understanding the country’s changing international role. Drawing on the extant studies on foreign policy change, this article proposes a four-level framework to analyse changes in humanitarian policy, which include quantitative adjustment, program modification, goal change, and reorientation. The four levels do not have causal relations, but minor adjustments normally accompany the major ones. The analysis finds that there have been changes in terms of quantity, program, and goals but no reorientation in China’s humanitarian engagement. Specifically, quantitative variations suggest that China’s share in global humanitarian spending has not changed substantively, regardless of recent increases. Program modifications are most observable among the shifts, which indicate the growing importance of humanitarian aid as a diplomatic instrument. Minor adjustments in humanitarian policy goals reflect China’s cautiously active disposition to humanitarian work. The changes combined point to Beijing’s aspiration for moderate achievement in global humanitarian governance.

Evaluation of a pediatric navigation program within primary care: a quantitative analysis guided by the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework

BackgroundPediatric Support Services (PSS) is a Patient Navigation Program designed to address barriers from referral-to-service connection from primary care to health system and community-based services and resources. This study aimed to evaluate PSS’ implementation for mental health services along the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework and identify factors throughout implementation to inform sustainability and delivery.MethodsThis study included descriptive analysis of all patients referred to PSS to assess reach, with a primary cohort analyses of a subset of patients referred specifically to mental health services. Data collection included triangulation of information extracted from electronic health records, direct contact with patients’ caregivers, and follow-up surveys completed by patients’ caregivers. Analyses were designed within each construct of the RE-AIM framework, and assessed for their tiered impact on the patient, provider, and system levels.ResultsFrom October 2019 to June 2023, 13,109 total referrals for 11,214 unique patients were triaged by PSS. The patient population overrepresented younger, Hispanic, female patients compared to the clinical population included in this health system’s service area. Of these patients, 3,929 were followed-up by trained navigators at two-weeks for mental health service connection, with 50.6% reported being connected to referred services and an additional 27.1% with pending appointments. There was a significant increase in referral connection rate as age increased and for Black patients, compared to other children. For patients considered connected to or pending services, a satisfaction survey found high satisfaction with PSS and the amount of navigator-patient contact (81.5 and 79.6%, respectively).ConclusionThese findings highlight potential program modifications to optimize quality of care and health for children and families, while enhancing capacity among providers, navigators, and clinics. Further adaptations, including electronic health record integration, patient/family feedback, and automated navigation processes, are suggested next steps for comprehensive navigation.Trial registrationThis study was approved by the Institutional Review Board for Prisma Health, trial number 1,852,794, with the most recent approval for expanded evaluation received on June 15, 2022 (original application approved in 2016).

Tiaozhuan: A General and Efficient Indirect Branch Optimization for Binary Translation

Binary translation enables transparent execution, analysis, and modification of the binary program, serving as a core technology that facilitates instruction set emulation, cross-platform compatibility of software, and program instrumentation. Handling indirect branch instructions is widely recognized as a significant performance bottleneck in binary translation. While the target of direct branch can be determined during the translation phase, indirect branch requires a run-time lookup from the guest program counter to the host program counter, significantly influencing the performance of translator. Although several methods have been proposed to accelerate this process, each guest indirect branch instruction still translates into approximately ten host instructions, resulting in considerable overhead. This paper introduces Tiaozhuan, which addresses this issue by employing two optimization schemes. Firstly, Full Address Mapping uses a larger address space to store address mappings from guest to host, effectively reducing the number of instructions required to lookup the target of an indirect branch. Secondly, Exception Assisted Branch Elimination further eliminates branch instructions that check target correctness of targets in the lookup process. These two approaches enable indirect branches target lookup to be completed within 1-2 instructions, noticeably decreasing the overhead of indirect branches. Compared to state-of-the-art mechanisms, the SPEC CPU2006 benchmark suite showed a reduction in the number of instructions by an average of 4.2%, with the highest observed performance improvement reaching 19.4% and an average increase of 3.9%.

An educational needs analysis of sustainable dietary education for nutrition teachers: an application of the IPA, Borich needs assessment and The locus for focus model

Objectives: This study aimed to investigate the importance and performance levels of sustainable dietary education across the health, environment, and society domains as perceived by nutrition teachers and evaluate the needs and priorities for sustainable dietary education.Methods: An online survey was conducted for 151 nutrition teachers in Jeollanam-do. The survey included 20 questions across the health, environment, and society domains. The data were analyzed using a paired-sample t-test, the importance-performance analysis (IPA), the Borich needs assessment model, and the locus for focus model. Results: Overall, the average importance levels of the 20 items of sustainable dietary education were significantly higher than their average performance levels (4.44 vs. 3.68). The examination of each educational domain revealed that although the importance of education in the health domain was recognized and actively practiced by the nutrition teachers, the performance was comparatively lower in the environment and society domains. The Borich needs assessment and the locus for focus model identified education on biodiversity conservation, plant-based protein, and the use of local food as the top-priority group in the environment domain along with fair and ethical food, food security, regional food culture, food policy and trade, and family dining culture as the second-priority group in the society domain.Conclusions: The results of this study underscore the need to support the nutrition teachers’ perception and practice of sustainable dietary education in the environment and society domains. We believe that the educational needs and priorities proposed in this study will be considered in the future development and modification of sustainable dietary education programs.

Advanced Lifestyle Modifications in Sugarfit's Diabetes Reversal and Management Program Drive Significant Glycemic Improvements: Evidence of a 2% HbA1c Reduction in Just 3 Months

Advanced Lifestyle Modifications in Sugarfit's Diabetes Reversal and Management Program Drive Significant Glycemic Improvements: Evidence of a 2% HbA1c Reduction in Just 3 Months

The association between ethnoracial characteristics and subjective well-being: a perspective considering social inequalities

ABSTRACT This study explored the association between subjective well-being (measured by life satisfaction) and ethnoracial characteristics (i.e. self-ascription, skin color, and speaking an Indigenous language) in Mexico and the role of socioeconomic inequalities in mediating this relationship. The emerging questions were: ‘What are the associations between subjective well-being and ethnoracial characteristics in Mexico?’ and ‘Are these associations affected by socioeconomic inequalities?.’ A multinomial logistic analysis was conducted, which estimates associations among multiple categories and predictor variables, using the data from the 2019 Project on Ethnoracial Discrimination in Mexico (PRODER, N = 7,037). The results indicated that Indigenous and white self-ascriptions were positively related to life satisfaction, whereas Mestizo and African Mexican identification did not have any association. Concerning skin color, the digital colorimeter measurements indicated that those with a lighter skin color had greater probabilities of having higher levels of life satisfaction. Additionally, those who reported speaking or who have parents speaking an Indigenous language were less likely to be in higher categories of life satisfaction. These results have central implications for the design and implementation of inclusive public policies, and for the design and modification of public programs.

A Systematic Review of Early General Parenting Interventions: Long-term Effects in Underrepresented Populations and Implications for Obesity Prevention.

While some parenting interventions designed for early-life obesity prevention have demonstrated short-term success, there is limited evidence of longer-term impacts and feasibility with underrepresented populations. The goal of this review was to examine existing general parenting programs for parents of children 0-5years that were not designed to target obesity but investigated long-term effects on parenting and/or were conducted with underrepresented populations to offer recommendations for the modification or development of parenting-focused obesity prevention programs. Most studies with sustained impacts on parenting in underrepresented populations were brief, group-based programs for parents of children 2-5years. Many effective interventions included guided practice of skills and cultural adaptations. Unique intervention approaches included remote or school-based delivery models and motivational interviewing. Brief, group-based programs for parents of young children may be a promising approach to achieving longer-term impacts of parenting interventions on obesity risk among underrepresented populations.

Improving the quality of psychiatric residency training in Isfahan University of Medical Sciences by learning teams and changing curriculum implementation: An action research study.

The deficiencies in the training of psychiatric residents in Isfahan, including the segregation of residency programs by year, the confinement of training to hospital departments, and the residents' limited exposure to the perspectives of other faculty members, had not been given significant attention. However, the inevitable alterations in the Department of Psychiatry and the impact of the coronavirus disease 2019 pandemic have brought these issues to the forefront, highlighting the need for program modifications. The objective of this study is to enhance the quality of psychiatric residency training by changing the implementation of the curriculum. This proactive action research was conducted in six steps. In the first step, the expectations of a new action were identified. In the second step, the new action - creating learning teams - was designed and implemented; thus, eight learning teams comprising experienced professors, novice professors, and residents from various academic levels were created, who collectively engaged in patient visits, psychotherapy, counseling, and educational sessions. Additionally, the portfolio was used in the training and evaluation of the residents. Steps 3 to 6 involved evaluation using a researcher-made questionnaire, analysis and interpretation of results, and reflection and making decisions for future actions. Step 1 resulted in preparing a list of department expectations from new action. The second step yielded the design of a new action. The survey results showed that more than 60% of respondents agreed that the program had a positive impact on 12 out of 15 items in the questionnaire, particularly in enhancing teamwork skills, facilitating discussions about patients, and fostering residents' accountability. However, in items related to portfolio, this percentage ranged from 40% to 53%. The implementation of learning teams as the main action in the current study has yielded positive outcomes; however, the portfolio intervention requires some adjustments. Hence, it is advisable to employ learning teams in comparable circumstances. The research team anticipates that these outcomes will enhance the quality of psychiatric residency training, positioning the country among the leading and influential nations in the region.

H‐2A workers' preferences for job attributes: Evidence from an experiment

AbstractDiminishing labor availability is a pressing issue for US farmers. We surveyed H‐2A farmworkers and conducted a discrete choice experiment to estimate their willingness to accept different job benefits. Respondents identified the opportunity to return home as the most valuable perk. The second highest valued job attribute was training in both English and machinery operation, followed by the employer offering housing amenities. The least valued benefit was the opportunity to earn overtime pay. This study provides new insights about the type of program modifications that might be valued more by workers in the context of proposals to modify labor rules.

Data-Driven Implementation Strategy to Optimise Clinician Behaviour Change at Scale in Complex Clinical Environments: A Multicentre Emergency Care Study.

To develop an evidence-driven, behaviour change focused strategy to maximise implementation and uptake of HIRAID (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication and reassessment) in 30 Australian rural, regional and metropolitan emergency departments. An embedded, mixed-methods study. This study is the first phase of a step-wedge cluster randomised control trial of HIRAID involving over 1300 emergency nurses. Concurrent quantitative and qualitative data were collected via an electronic survey sent to all nurses to identify preliminary barriers and enablers to HIRAID implementation. The survey was informed by the Theoretical Domains Framework, which is a synthesis of behavioural change theories that applies the science of intervention implementation in health care to effect change. Quantitative data were analysed using descriptive statistics and qualitative data with inductive content analysis. Data were then integrated to generate barriers and enablers to HIRAID implementation which were mapped to the Theoretical Domains Framework. Corresponding intervention functions and Behaviour Change techniques were selected and an overarching implementation strategy was developed through stakeholder consultation and application of the APEASE criteria (Affordability, Practicability, Effectiveness and cost-effectiveness, Acceptability, Side-effects/safety and Equity). Six barriers to HIRAID implementation were identified by 670 respondents (response rate ~58%) representing all 30 sites: (i) lack of knowledge about HIRAID; (ii) high workload, (iii) lack of belief anything would change; (iv) not suitable for workplace; (v), uncertainty about what to do and (vi) lack of support or time for education. The three enablers were as follows: (i) willingness to learn and adopt something new; (ii) recognition of the need for something new and (iii) wanting to do what is best for patient care. The 10 corresponding domains were mapped to seven intervention functions, 21 behaviour change techniques and 45 mechanisms. The major components of the implementation strategy were a scaffolded education programme, clinical support and environmental modifications. A systematic process guided by the behaviour change wheel resulted in the generation of a multifaceted implementation strategy to implement HIRAID across rural, regional and metropolitan emergency departments. Implementation fidelity, reach and impact now require evaluation. HIRAID emergency nursing assessment framework reduced clinical deterioration relating to emergency care and improved self-confidence and documentation in emergency departments in pilot studies. Successful implementation of any intervention in the emergency department is notoriously difficult due to workload unpredictability, the undifferentiated nature of patients and high staff turnover. Key barriers and enablers were identified, and a successful implementation strategy was developed. This study uses theoretical frameworks to identify barriers and enablers to develop a data-driven, behavioural-focused implementation strategy to optimise the uptake of HIRAID in geographically diverse emergency departments which can be used to inform future implementation efforts involving emergency nurses. The CROSS reporting method (Supporting Information S3) was used to adhere to EQUATOR guidelines. No Patient or Public Contribution. Australian New Zealand; Clinical Trials Registry (ANZCTR) number: ACTRN12621001456842, registered 25/10/2021.

Development of a breastfeeding co-parenting intervention program for couples with primiparas: a program development process study

BackgroundThe exclusive breastfeeding rates is low in some countries. Low breastfeeding rates results in higher healthcare expenses and adverse health outcomes for individuals and society. Co-parenting is effective in promoting breastfeeding as it involves shared responsibility and collaboration between parents in raising children. However, the current breastfeeding co-parenting intervention programs exhibits significant variations in components, timing, and duration across studies. An evidence-based breastfeeding co-parenting intervention program is essential for enhancing breastfeeding-related outcomes.ObjectiveTo develop an evidence-based breastfeeding co-parenting intervention program for healthcare providers to guide parents with primiparas on breastfeeding.MethodTo form an initial version of the intervention program, a systematic literature review was conducted to consolidate information on current intervention programs. Two rounds of Delphi method were followed to gather expert comments for the program modification to establish the formal version.ResultsFourteen articles published between 1995 and 2022 were screened. Details of these researches, including starting and ending time, duration and specific contents, were integrated to developed the initial program. Then, six experts completed the two rounds consultation with a positive coefficient of 85.71%, coefficient judgment basis of 0.93, familiarity coefficient of 0.87, authority coefficient of 0.90 and the Kendall’s W of 0.62. Finally, an evidence-based breastfeeding co-parenting intervention program was constructed in this study, consisting of breastfeeding co-parenting courses, individual counselling and a father’s support group.ConclusionThis research developed a breastfeeding co-parenting intervention program for healthcare providers to guide primiparous parents to improve breastfeeding rates. Through a systematic literature review and Delphi method with good reliability, the program integrates breastfeeding courses, individual counseling, and a father’s support group. Future research will focus on evaluating its impact and scalability to benefit maternal and infant health globally.Trial registrationChiCTR.org.cn (ChiCTR2300069648). Registration date: 2023-03-22.

An automated OpenMP mutation testing framework for performance optimization

Performance optimization continues to be a challenge in modern HPC software. Existing performance optimization techniques, including profiling-based and auto-tuning techniques, fail to indicate program modifications at the source level thus preventing their portability across compilers. This paper describes Muppet, a new approach that identifies program modifications called mutations aimed at improving program performance. Muppet’s mutations help developers reason about performance defects and missed opportunities to improve performance at the source code level. In contrast to compiler techniques that optimize code at intermediate representations (IR), Muppet uses the idea of source-level mutation testing to relax correctness constraints and automatically discover optimization opportunities that otherwise are not feasible using the IR. We demonstrate the Muppet’s concept in the OpenMP programming model. Muppet generates a list of OpenMP mutations that alter the program parallelism in various ways, and is capable of running a variety of optimization algorithms such as delta debugging, Bayesian Optimization and decision tree optimization to find a subset of mutations which, when applied to the original program, cause the most speedup while maintaining program correctness. When Muppet is evaluated against a diverse set of benchmark programs and proxy applications, it is capable of finding sets of mutations that induce speedup in 75.9% of the evaluated programs.

A Snapshot of Introductory Pharmacy Practice Experience Program Characteristics

ObjectiveTo provide schools and colleges of pharmacy a snapshot of Introductory Pharmacy Practice Experience (IPPE) program characteristics to generate and share ideas for IPPE program modifications to improve student learning outcomes and comply with Standards 2025. MethodsA 41-item electronic survey was distributed to 140 Accreditation Council for Pharmacy Education fully accredited schools and colleges of pharmacy in 2023. IPPE program characteristics such as structure, learning activities, assessments, and requirements were described. ResultsEighty-seven programs participated in the survey (62.1% response rate). Notable findings included 64.4% of programs starting IPPEs during the first professional year, 78.6% did not count simulation hours toward Accreditation Council for Pharmacy Education hour requirements, 24.1% incorporated patient care electives, over 90% incorporated various patient care activities, 40.2% exceeded a 2:1 student-to-preceptor ratio, 15.7% incorporated layered learning, 50.0% incorporated interprofessional education, 57.5% used summative assessment rubrics based on Entrustable Professional Activities, and 77.0% used pass/fail grading. ConclusionOwing to evolving accreditation standards, the study provided valuable information about the current state of IPPEs. The study results included examples and components that programs can use to ensure that they comply with Standards 2025.

Mediating role of capabilities in organisational agility-performance relationship in J&K, India

PurposeThis study examines the impact of organisational agility on the performance of higher education institutions. It also aims to explore the mediating role of various capabilities, namely, service innovation, technology capability, learning capability, and collaborative knowledge creation, in the agility-performance relationship.Design/methodology/approachThe sample of this study includes teaching staff of two prominent state universities of J&K, India. The study employs Exploratory Factor Analysis (EFA) and Structured Equation Modelling (SEM) for scale purification and hypotheses testing.FindingsThe results show that organisational agility positively influences performance of higher education institutions. Capabilities, namely, service innovation, technology capability, learning capability and collaborative knowledge creation, partially mediate the organisational agility-performance relationship.Research limitations/implicationsThe sample comprises teaching staff of two established universities of J&K, India.Practical implicationsFor sustenance in the turbulent environment, higher educational institutions should employ practices like regular modification of academic programs, increasing the speed of logistics activities, investing in high-ended software and hardware facilities, and developing an open environment for the exchange of ideas by employees. Policy formulation should encourage adopting agile practices in higher education institutions for enhanced performance.Originality/valueThis paper focuses specifically on organisational agility and its impact on the performance of higher educational institutions. The study contributes to the agility literature by testing the mediating roles of service innovation, technology capability, learning capability and collaborative knowledge creation collectively in the relationship between organisational agility and performance, concluding that all these capabilities except service innovation enhance the effect of organisational agility on performance.