Let the right on in: Nudging child participation in care contexts through norm-creative technology

This study addresses the knowledge gap concerning whether and how digital support tools can amplify children’s perspectives in care contexts while counteracting adult-centric and healthcare-grounded norms. Acknowledging the influential role and power position of care professionals, this paper explores 11 professionals’ perceptions of how a digital communication tool affected child participation in pediatric and social care meetings. Professionals’ narratives were analysed from a socio-technical perspective using Interpretive Description. We found that the tool’s affordances and materiality were perceived to improve the participation conditions for some children, though not all. In cases where professionals felt the tool helped facilitate participation, they described how conversing through the tool influenced topics, meeting dynamics, and parental involvement. Based on these experiences, professionals identified shortcomings in current approaches and practices, expressed an increased openness toward new tools, and ideated alternative ways of working. We discuss how design, affordances, and materiality were perceived to facilitate immediate participation, and what implications these experiences may have for norm transformation in care contexts over time. The insights can inform designers and care professionals aiming to enhance child participation in care settings. © 2025 Teleman, Isaksson, Nygren, & Svedberg.