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Purpose – Designing technologies for active and healthy ageing (AHA) requires a subtle understanding of end users (primary stakeholders) and healthcare professionals (secondary stakeholders). Often, their perspectives can be heterogeneous and contradictory. Identifying and negotiating them may be a challenge for designers. The purpose of this paper is to present our approach to understanding and negotiating contradictory stakeholder perspectives when designing AHA technologies for older adults. Design/methodology/approach – The authors conducted an exploratory interview study with 15 community-dwelling older adults and 11 healthcare stakeholders, including doctors, health insurance agencies, policymakers and caregivers. The authors analyzed the interview material and negotiated contradictory perspectives. Findings – Three major issues among stakeholders emerged: perspectives on AHA; perceived benefits and drawbacks of AHA technologies; and concerns about data privacy, control and trust. Research limitations/implications – The results show the heterogeneity and contradictions in stakeholder perspectives on AHA technologies and how these perspectives may be negotiated. This could help understand and facilitate long-term use of AHA technologies among older adults.