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Purpose This article critically examines user-involvement in the service delivery process for assistive activity technology.Methodology Data were collected in semi-structured interviews with 44 end users of assistive activity technology and in focus group interviews with 11 professionals at Norway's Assistive Technology Centre. Data was analysed according to a stepwise deductive-inductive approach.Findings Flawed organisational principles like division of responsibility, unclear regulations, and a lack of competence with assistive activi