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One ideal of Participatory Design (PD) is active involvement by all stakeholders as co-designers. However, when PD is applied to real projects, certain compromises are unavoidable, no matter what stakeholders are involved. With this paper we want to shed light on some of the challenges in implementing "true" PD in the case of designing with children, in particular children with severe disabilities. We do this work to better understand challenges in an ongoing project, RHYME, and by doing so we hope to provide insight and inspiration for others.

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This paper address Universal Design and Tangible Interaction through the concept of familiarity. Co-creative tangibles are designed and evaluated in the RHYME project, where the goal is to improve health and well being for children with severe disabilities through music and physical interaction. The main contribution of this paper is to make sense of Universal Design of cocreative tangibles through the concept of familiarity. Familiarity is described by engagement, understanding and an intimate or close relationship between the user and the technology. We propose familiarity as a concept for understanding and developing Tangible Interaction solutions for all.