The article presents findings from a review of scientific articles about media and information literacy interventions targeted at children and adolescents. More specifically, the review centers on the quantity and quality of child participation in the design of such interventions. The findings indicate that designs with high levels of child participation constitute a minority in the sample. Most of them aim at “behavior-relevant” outcomes, e.g., reduce smoking or obesity. Interventions aimed at “media-relevant” outcomes, e.g., helping children to become competent media users, seem less widespread. Based on these findings, we argue that top-down initiatives to the promotion of media and information literacy among children and adolescents run the risk of becoming irrelevant to the target group, and that child participation in the design of such interventions should be seen as an end in itself, at least if we subscribe to the idea of children’s rights in the digital age.