Technology in the home environment has the potential to support older adults in a variety of ways. We took an interdisciplinary approach (human factors/ergonomics and computer science) to develop a technology "coach" that could support older adults in learning to use a medical device. Our system provided a computer vision system to track the use of a blood glucose meter and provide users with feedback if they made an error. This research could support the development of an in-home personal assistant to coach individuals in a variety of tasks necessary for independent living.