Inclusion Criteria:  PATIENT: Diagnosis of advanced solid tumor PATIENT: Oncologic plan for a phase I trial PATIENT: High symptom burden (defined as a score of >= 4 on at least 1 Edmonton Symptom Assessment Scale [ESAS] symptom, AND a global distress score [GDS] of >= 20) PATIENT: Reliable telephone and internet access PATIENT: Able to communicate verbally in English and provide informed consent CAREGIVER: Able to communicate verbally in English and provide informed consent CAREGIVER: Reliable telephone and internet access  Exclusion Criteria:  PATIENT: Low symptom burden defined as scores < 4 on all ESAS symptoms OR GDS < 20 PATIENT: Delirium (i.e. Memorial Delirium Assessment Scale > 8) PATIENT: No reliable telephone or internet access CAREGIVER: Refusal to participate in this study CAREGIVER: No reliable telephone or internet access