Inclusion Criteria:  Patient has stage 3A, 3B, or 4 NSLC or extensive stage SCLC and is within one month of treatment initiation OR patient has Stage 4 GI cancer and is within one month of treatment initiation patient is spending more than 50% of time out of bed on a daily basis as measured by an ECOG Performance Status rating of level 0, 1, or 2 patient has stable brain metastases and no limitation on hepatic or renal function patient has a spouse/partner other or close family member who he/she defines as the primary caregiver patient and caregiver are age 18 years or older patient and caregiver have the ability to read and understand English at a sixth grade level, as determined by ability to understand the consent form patient and caregiver can provide informed consent  Exclusion Criteria:  patient or caregiver is deaf or has significant hearing impairment and thus cannot use the telephone patient is currently enrolled in hospice.