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Adaptability and integration (ADI) are the core ingredients for environmentally sustainable construction (ESC), which preserves the ecology from unsupported human activities. However, the approach is lagging in developing countries, which has led to studying the influence of ADI on the adaptive capacity of small- and medium-scale construction organisations.

The research employed a quantitative methodology, collecting 400 responses as a sample size. A construct of 14 influential factors concerning ADI within the Ghanaian small and medium-scale construction industry was developed. The data obtained from participants underwent analysis using SPSS version 26. The validity of the study’s findings was assessed by applying structural equation modelling (SEM) within the AMOS software.

It was evident that innovation advancement and ongoing training and evaluations significantly influence ADI for adaptive capacity. Moreover, the system internally and vulnerability (SIV) and perceived need for implementation (PNI) sub-scales were the main latent components for best construction practices.

Ghana’s small- and medium-scale construction organisations have yet to fully recognise the importance of ADI in enhancing adaptive capacity for the best ESC. However, the results indicated that ADI constructs will significantly influence implementation outcomes to ensure ESC.

The originality of this research also resides in identifying how ADI affect small- and medium-scale construction organisation’s ability to ensure ecologically sustainable building practices.