Web-based Mindfulness Meditation in Reducing Distress in Participants With Metastatic Gastrointestinal Cancer and Their Caregivers

Inclusion Criteria: * ELIGIBLE PATIENTS: Carry a diagnosis of a metastatic GI cancer * ELIGIBLE PATIENTS: Anticipate receiving chemotherapy for at least 12 weeks total from the time of recruitment * ELIGIBLE PATIENTS: Have an estimated life expectancy of at least 6 months, assessed by principal investigator or treating investigator * ELIGIBLE PATIENTS: Have an Eastern Cooperative Oncology Group (ECOG) performance status between 0-2 * ELIGIBLE PATIENTS: Be able to speak and read English * ELIGIBLE PATIENTS: Be able to navigate websites, fill out forms on the web, communicate by email, and have regular access to the internet (assessed by participant self-report) * ELIGIBLE PATIENTS: Have daily access to a mobile phone capable of receiving text messages, as determined by a study investigator * ELIGIBLE PATIENTS: Be able to provide informed consent * ELIGIBLE CAREGIVERS: Be a spouse/partner, other family member, or a close friend of a patient who consented to participate in the Being Present 2.0 study * ELIGIBLE CAREGIVERS: Be able to speak and read English * ELIGIBLE CAREGIVERS: Be able to navigate websites, fill out forms on the web, communicate by email, and have regular access to the internet (assessed by participant self-report) * ELIGIBLE CAREGIVERS: Have access to a mobile phone capable of receiving text messages, as determined by a study investigator * ELIGIBLE CAREGIVERS: Be able to provide informed consent Exclusion Criteria: * Have a current meditation practice (\> 2 episodes or \> 1 hour total, weekly) * Be currently enrolled in a stress reduction program * Have extensive hearing loss such that ability to participate in the study would be impaired * Have participated in the original Being Present pilot study (BP1) * Be caregivers of patients who decline Being Present 2.0 (BP2) study participation