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Background: With a global increase in life expectancy, focus on technologies that can enhance both physical and mental health in older people, including frail and impaired older adults has increased. Similarly, an in-creased research interest in how technology can promote well-being and self-management of health in older age has developed, including methods for designing complex technological ecosystems that meet the various medical, psychological, and social needs of an ageing population. Despite this increase, there remains an opportunity to further understand the needs of this population group to ensure uptake of new health technologies and to avoid introducing additional challenges when introducing new tech-nologies, e.g., due to poor design. This scoping review thus seeks to identify both methods used to involve frail and impaired older people in the design of health technology and that ensures that the voices and needs of this population group is heard and used in designing new technology. We limit the scope to health technologies meant to enable older people to age in place and enhance overall health and well-being. Objective: This scoping review sought to explore the ways by which frail and impaired older people are involved in various aspects of the design of new health technology. This included a focus on recruitment strategies, as well as the contribution and specific methods used to address the perspectives, needs and de-sires of frail and impaired older people. Methods: A scoping review was conducted in accordance with the PRISMA-ScR reporting [1] from February 2021 to April 2021. Literature searches were conducted in PubMed, Scopus (Web of Science), Embase, and IEEE using a search string covering the concepts of health technology, older people, frail and impaired, user-centred design, and self-management. Results: 1891 studies were imported for screening from the initial search. A total of, BACKGROUND: With an increase in life expectancy globally, the focus on digital health technologies that can enhance physical and mental health among older people with frailty and impairment has increased. Similarly, research interest in how digital health technology can promote well-being and self-management of health in older age has increased, including an increased focus on methods for designing digital health technologies that meet the various medical, psychological, and social needs of older population. Despite the increased focus, there remains a necessity to further understand the needs of this population group to ensure uptake and to avoid introduction of additional challenges when introducing technologies, for example, because of poor technological design. The scope is limited to digital health technologies meant to enable older people with frailty and impairment to age in place.OBJECTIVE: In this study, we aimed to explore how older people with frailty and impairment are involved in various parts of the design processes of digital health technologies and identify gaps or neglected steps in a user-involving design process. This included a focus on recruitment strategies, contributions, and methods used to address the perspectives, needs, and desires of older people with frailty and impairment in the development of digital health technologies.METHODS: A scoping review was conducted in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) reporting from February 2021 to April 2021. Literature searches were conducted in PubMed, Scopus, Embase, and IEEE using a search string covering the concepts of health technology, older people, frailty and impairment, user-centered design, and self-management.RESULTS: In total, 1891 studies were imported for screening from the initial search. A total of 22 studies were included in this review after full-text screening and man