The ‘Caregiver Assessment of Skill Sets & Individualized Support through Training’ or ‘CG ASSIST’ project is a feasibility study that was designed to adapt, implement and evaluate a comprehensive hands-on skills training program with family caregivers of older adults who required assistance with transferring and/or positional change during daily activities. Specific objectives were to (1) field test a comprehensive in-home intervention delivered by a clinical expert which included training in caregiving skills and provision of assistive technology; and (2) to compare two needs assessment procedures (caregivers' subjective self-reports of dyadic performance during ADL task execution and objective, observation-based ratings made by Clinical Experts as part of the comprehensive assessments in the CG ASSIST pilot study.) Ratings of ADL performance in 4 domains were examined using percent agreement (P++, Cohen's Kappa (K) and the intra-class correlation coefficient (ICC). In general, concordance was poor but varied by task and domain for: level of assistance (ICC=.36, ns -.84, p<.005), safety (P++ = .11 - .53; K = -.07 - .11, ns), satisfaction with skills (P++ = .42 - .75 K =.11 - .23, ns); and reports of assistive technology and environmental supports present (ICC = -.01, ns - .60, p<.005) and used appropriately (ICC = -.06, ns - .53, p<.05). All dyads received AT and training on the safe and appropriate use of the equipment until the caregivers felt comfortable with their ability to use the AT and the Clinical Experts rated appropriate device use as 100%. These data point to the importance of the periodic assessment of ADL task performance and evaluation of assistive technology used by dyads for ADLs.