This paper examines the intertwined dynamics among digital transformation, IT innovation, and sustainability and their collective influence on firm performance in response to the evolving business landscape characterized by digitalization, IT innovation, and sustainability concerns. The study investigates how these factors collectively impact firm performance by analyzing a panel dataset of 1510 global companies from 2013–2023. The model utilizes a multiple linear regression analysis to incorporate firm performance scores as the dependent variable. At the same time, digital transformation, IT innovation, and sustainability factors are the independent variables, alongside firm-level control variables. The results reveal that digital transformation positively influences IT innovation and strategic business model (BM) development, confirming its direct impact on firm performance. Additionally, firms with simpler and younger structures achieve better outcomes than larger and more established ones. However, the study has limitations, as it is based on a panel dataset spanning 11 years; extending the analysis to a different and longer period could provide insights into the evolving nature of digital transformation, which is inherently dynamic. This study is groundbreaking in exploring these factors, offering a unique perspective through its analysis of an 11-year panel and its focus on assessing dynamic business models.

This paper aims to define and measure the environmental impacts associated with three distinct industry techniques used in the production of fresh tomatoes, from planting to harvesting. A comparative Life Cycle Assessment (LCA) is conducted to evaluate the environmental performance of producing one kilogram of fresh processing tomatoes. The study includes three Italian companies representing different Business Models: standard production, integrated production, and precision farming. The impact evaluation method used is ReCiPe, at both midpoint and endpoint levels. The results reveal that the adoption of advanced technology, such as precision farming, in managing the agricultural production of fresh tomatoes leads to a significant reduction in environmental impacts across all categories analyzed. Interestingly, the largest contribution to climate-changing gases comes from the use of fertilizers. Precision farming demonstrates a remarkable reduction of CO₂ emissions by 52% compared to integrated production and 67% compared to standard production. This analysis provides valuable insights for managers and policymakers in developing strategies for large-scale, sustainable production using innovative techniques. The main contribution of this study lies in comparing the performance of three different Business Models employed in Italian fresh tomato production.

Purpose: Gamification unlocks unprecedented opportunities in healthcare, wellness and lifestyle context. In this scenario, by leveraging on such an approach, information technologies now enabled gamification-based mobile applications primarily employed in health and wellness contexts, focusing on areas such as disease prevention, self-management, medication adherence and telehealth programs. The synergistic integration of gamification-based methodologies in conjunction with the utilization of digital tools, (e.g. as for Internet of Things, mobile applications) for the realm of digital therapeutics (DTx), thus unveiled powerful approaches and paradigms, yielding innovative applications that, through the harnessing of sensors and software-based systems, transform healthcare maintenance, wellness and lifestyle into an engaging pursuit, as a game. This paper explores the factors influencing individuals' intention to autonomously utilize mobile gamification-based apps for self-care and wellness maintenance.Design/methodology/approach: Through explorative research designs an experiment has been conducted among a sample of 376 participants regarding the use of a fictitious gamification-based DTx solution, consisting in a mobile app namely “Health'n’Fit”.Findings: Findings from an experiment conducted with a sample of 460 participants shed light on the possible antecedents and consequents of gamification. Results of the SEM model indicate that customization (CU), trust (TR), mobility (MO) and social value (SV) are the main determinants, although at a different extent of the playful experience; Moreover, gamification positively impacts attitudes and, in turn, perceived usefulness, intention to use and behavioral intentions.Practical implications: This paper offers a dual-pronged approach that holds practical significance in the realm of healthcare innovation. First, the authors delve into the antecedents shaping individuals' intention to engage with gamification-based DTx, unraveling the factors that influence user adoption. Beyond this, the authors extend their focus to the realm of healthcare service design. By harnessing the potential of gamification and technology, the authors illuminate pathways to conceptualize and create novel healthcare services. This work not only identifies the building blocks of user engagement but also serves as a guide to innovatively craft healthcare solutions that leverage this amalgamation of technology and gamification, contributing to the evolution of modern healthcare paradigms.Social implications: In a social context, the paper introduces pioneering technological synergies that merge gamification and DTx to enhance individuals' health and wellness maintenance. By proposing innovative combinations, the authors present novel avenues for promoting healthier lifestyles and behavior change. This not only underscores the potential of technology to positively impact individuals but also highlights the significance of aligning technological advancements with societal well-being. As the research advocates for these innovative solutions, it reinforces the importance of collaborative technological and marketing endeavors, ultimately contributing to the betterment of society as a whole.Originality/value: This is the first paper exploring the combined effect of gamification and DTx, by shedding light on the peculiarities of both the antecedents of individuals' intention to use such combined technologies.

The agri‐food sector is vital to economic development, but it exerts significant environmental and social pressures. This study draws on the natural resource‐based view. It investigates the strategic sustainability‐performance nexus in the global food and beverage industry using a longitudinal dataset (2013–2023) of 633 firms across the EU, the United States, and China. The multivariate analysis provides novel evidence on the “substance over symbol” debate, revealing a critical dichotomy: While environmental innovation acts as a dynamic capability enhancing ESG scores, green revenues alone do not guarantee superior ratings, exposing a gap between product‐level metrics and systemic integration. Empirical findings indicate that financial markets value tangible innovation inputs, specifically R&D and operational efficiency, but do not directly reward ESG scores. This suggests investors prioritize innovation substance over formal disclosure. These findings underscore the need for a strategic shift from mere reporting compliance towards innovation‐led sustainability to enhance market value. For policymakers, the results indicate that incentives should prioritize structural R&D and eco‐innovation capabilities rather than superficial green labelling to align competitiveness with environmental objectives more effectively.