This is a prospective, randomized, controlled study with four groups: Immediate In-Person Prayer (Group 1), In-Person Music Control (Group 2), Immediate Virtual Prayer (Group 3), and Virtual Music Control (Group 4). Randomization uses an alternating list with equal probability of assignment to intervention or control within each arm. The PIP arm recruits patients presenting in person at University of Maryland Department of Family and Community Medicine clinics. The VIP arm recruits patients of the same clinics via email outreach, with sessions conducted over Zoom Healthcare. The prayer intervention follows a standardized Christian 5-step prayer model. The control condition consists of a 5 minutes of soothing instrumental music. Outcome assessments use the GAD-7 and likert scare for anxiety and the Numeric Pain Rating Scale for pain, collected at baseline, immediately post-intervention (except GAD-7), 2 to 4 weeks, and 6 to 8 weeks. Secondary analyses examine whether effects vary by age, gender, race/ethnicity, socioeconomic status, and religious beliefs. Participant perceptions of the prayer experience are also assessed. This is a feasibility and pilot study.
