Ambient Assisted Living (AAL) technologies can play an important role in helping elderly people achieve healthy ageing and maintain their autonomy. The balance quality tester (BQT) is a device for remote assessment of balance quality for older people at risk of falling. It has been validated both from a technical and a clinical perspective. However, for the BQT to be considered as a useful tool for long-term home monitoring of people with balance impairments, two issues are at stake: ease-of-use on a regular basis and trust in the validity of the data acquisition. To ensure this utility, a usage study has been made to understand the needs and values of different stakeholders: elders at risk of falling and their entourage, as well as health professionals. One main insight was the need to redesign the BQT, so as to fit the needs concerning ease-ofuse and trust in validity of data acquisition. Using a Human-centred and Participatory Design approach, the redesigning work relates to hardware design, interaction design, interface design, and most of all to standardizing the protocol of stepping-on the BQT. This paper describes the results, i.e. the design recommendations, and discusses the collaborative and iterative design process, which allowed the successful redesign of the BQT.