Everyone dying at home requires help from a care partner (CP). For most people, these CPs are family members and friends who help their loved ones with daily tasks, medications, and comfort measures. Those who engage hospice services also benefit from the support of experienced medical/social service teams. By definition, the focus of hospice care is on a family unit, although currently there are no broadly disseminated systematic methods for assessing the needs of CPs or offering preventative interventions. My mentors, Dr. Sadak's team, conducted a pragmatic trial of assessing CP needs in hospice by adapting "Managing Your Loved One's Health" (MYLOH), a 29-item self-report measure of CP activation: readiness, knowledge, skills for meeting their care recipient's healthcare needs and maintain personal wellness for use in hospice. I reviewed and thematically coded: 1. Video interviews with RN case managers and administrators, 2. Researcher's field notes, and 3. All other documented communication between the research and the hospice teams; created a timeline and documented the rationale for adaptations that were made in MYLOH. Methods: A Sample of N=50 CP of people receiving hospice care; N=14 RN Case Managers; N=6 Hospice Administrators. MYLOH and several other brief CP assessment measures were administered by RN case managers to CPs on baseline, week 4, and week 12. Measures were used as a guide for conducting CP/Patient needs assessment, and to plan and assess effectiveness of interventions. Case managers took process notes and offered feedback via video-recorded interviews with the research team. Adaptations to MYLOH were made based on this iterative feedback. MYLOH-Hospice is a 12-item measure that is a useful tool for guiding assessment and interventions for CPs in hospice, it has strong face validity and acceptability, but is found to be too long for iterative routine use.