-Design is a basic human activity; everyone who advances actions to change an existing situation into a desired one engages in design. The act of designing thus posits a discussion about the active involvement of ¿users¿ in the design process and responds to and integrates user-initiated design. User-initiated design is a phenomenon that many disabled people enact while negotiating their less-than-accessible environments every day but this experience has been neglected from research in the field of design. Given this lack of attention the study explores designs people with disabilities, particularly people who have had a stroke, generate in their home environment and factors supporting them in taking an active role in designing this key living environment.