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This study aimed to explore Tokyo 2020’s non-host cities leveraging the Paralympic Games for accessible tourism development. Following their successful bid, the Japanese government launched a national initiative to promote an inclusive society, extending beyond Tokyo to include other regions and achieving the social model of disability. In particular, this study examined why and how non-host cities leveraged para-sport events for accessible tourism development.

We conducted multiple case studies focusing on three non-host cities that engaged in the national initiative from Tokyo 2020. Data was collected through semi-structured interviews with city employees from the authorities in October 2019 and the municipal council meeting minutes mentioning the initiative.

Thematic analysis identified contexts, strategic objectives, resources and means comprising the leveraging processes, differing from the previously suggested leveraging process. Notably, non-host cities embarked on leveraging when they realized alignment between their existing policies and the national initiative. Contrary to assumptions, our findings suggest that sport event leveraging does not always require pre-existing resources. This study also revealed the transfer of various resources (e.g. human, financial, social, image of the event) during the process. Additionally, non-host cities prioritize physical accessibility and a barrier-free mindset for accessible tourism development, diverging from typical sport event impacts on local tourism.

This research provides insights and lessons from Tokyo 2020, guiding future para-sport events. Focusing on the pre-event phase, our data not only enhances research quality by minimizing interviewee recall bias but also contributes to a deeper understanding of ongoing leveraging efforts.

The purpose of this paper is to provide an overview of published literature on behavioural and psychological symptoms of dementia (BPSD) nursing in Japan and to highlight challenges that need to be resolved.

The criteria for retrieval of literature were as follows: a BPSD study conducted by a nurse in Japan, and it must have been published. Papers without conference proceedings and peer reviews and literature without English titles and abstracts were excluded. The PRISMA (preferred reporting items for systematic reviews and meta-analyses) was referenced.

Based on the analysis of 20 studies meeting the criteria, nurses tended to manage BPSD when all three of the following were clearly defined: attempts to understand BPSD, the provision of nursing intervention to improve the quality of care and clarification of the perception of BPSD. There were eight studies that implemented surveys considered to be helpful for nurses to understand BPSD with the aim of clarifying the symptomatic factors, meaning of each behaviour, etc. In the eight studies, nurses directly coped with BPSD in various ways. Four studies reported on how nurses perceive the associated behaviours and symptoms of BPSD patients.

This study suggests that not only implementing interventions but also aiming at improving nurses’ understanding of BPSD and their level of knowledge are crucial to promote BPSD nursing in Japan.