Participatory design (PD) is a research approach to the development of technological solutions to real-world problems, an approach that shares many concerns and some of its roots with action research. In this article, the authors discuss their experience in conducting a PD research project intended to develop a technological and a related organizational intervention to support the treatment of foot ulcers for people with diabetes at home. They provide a historical overview of the PD approach and a description of how they used it in their research study. They describe their experience in conducting the research, including the participants' responses, the outcomes of the research, and the challenges confronted in bridging the practical and disciplinary issues that arose. In the conclusion, they propose that PD holds potential as a research approach that might effectively merge computer technology and health-related interventional research.

At a time where computer technology is putting human lives and work under pressure, we discuss how to provide alternatives. We look back at Participatory Design (PD) which was originally about possibilities and alternatives as much as it was about specific solutions. The paper aims to revitalize and revise PD to help people influence big issues . The agenda for this is set through proposing a set of key elements for realizing new, important possibilities. We discuss the possible changes of partnership with users, call for a new role of researchers as activists, debate how to work with demanding visions for lasting impact, and democratic control. We focus on high technological ambitions, on deployment of working prototypes, on alliances, and on scaling up, all seen as important for a PD that matters. We conclude the paper with an invitation to participate in the continued discussion, codesign, and realization of a PD that matters.

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This article will discuss how to design computer applications that enhance the quality of work and products, and will relate the discussion to current themes in the field of Computer-Supported Cooperative Work (CSCW). Cooperation is a key element of computer use and work practice, yet here a specific “CSCW approach is not taken.” Instead the focus is cooperation as an important aspect of work that should be integrated into most computer support efforts in order to develop successful computer support, however, other aspects such as power, conflict and control must also be considered.