Inclusion Criteria:  Patients must be diagnosed with a metastatic or locally recurrent solid malignant tumor Patients must be at least 18 years old Patients must have at least one dependent child between the ages of 4 and 12 and currently living with the parent Patients must be able to provide informed consent Patients must have a spousal caregiver over the age of 18 who co-parents the child(ren) (i.e. share custody) and is willing and able to consent to participate Patients with cognitive deficits that would impede the completion of self-report instruments as measured by the Mini Mental State Examination (score of =< 17)  Exclusion Criteria:  Patients and caregivers who do not read and speak English and who do not have access to the internet