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| ID | Type | Description | Link |
|---|---|---|---|
| 25-206-1708 | Other Identifier | BRANY IRB |
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This single-arm feasibility and preliminary effectiveness trial examines PRAY.COM, a faith and prayer mobile application (app), among university students. Enrolled students at Regent University are asked to use the app for at least 10 minutes per day for 8 weeks. Feasibility is assessed by app demand (≥70% weekly use benchmark) and acceptability (≥75% satisfaction benchmark). Preliminary effectiveness is assessed at baseline, 4 weeks, and 8 weeks for mental health (depressive symptoms, anxiety, stress), well-being (loneliness, sense of purpose and meaning), and academic outcomes (time management confidence, school-life balance satisfaction, confidence managing academic challenges, feeling overwhelmed by academic responsibilities, classes missed due to mental health, difficulty concentrating, frequency of mental health negatively impacting academic performance, and difficulty completing coursework). Three analysis groups are examined: completers with confirmed objective app engagement (primary), all 8-week completers (secondary), and all enrolled participants using last observation carried forward imputation (tertiary).
This study is a single-arm feasibility and preliminary effectiveness trial conducted with currently enrolled students at Regent University. Participants are recruited via a university-wide email listserv and are asked to use the PRAY.COM app, a faith-based mobile application delivering Daily Prayer, Meditative Prayers, Scripture Readings, Bedtime Bible Stories, Podcasts, Sermons, a Bible in a Year program, and Pray AI (an AI-powered faith companion), for at least 10 minutes per day over 8 weeks. No instructions are given regarding which specific features or content to engage with. Upon completing the baseline survey, participants receive a complimentary premium PRAY.COM subscription for the duration of the study.
Feasibility is assessed across demand and acceptability domains. Demand is operationalized as the percentage of participants reporting at least weekly app use with a benchmark of ≥70%. Acceptability is operationalized as the percentage of participants reporting satisfaction (satisfied or very satisfied) with a benchmark of ≥75%. Additional feasibility indicators include perceived appropriateness for students and intent to continue use. Objective app usage data are obtained directly from PRAY.COM to complement self-reported engagement.
Preliminary effectiveness outcomes are assessed using validated measures at baseline, 4 weeks, and 8 weeks. Mental health outcomes include depressive symptoms, anxiety, and stress (DASS-9; 3 items each, 0-3 scale), and loneliness (UCLA-3; 3 items, 1-3 scale). Well-being outcomes include sense of purpose and meaning (2 items adapted from the Claremont Purpose Scale, 1-5 scale). Academic outcomes include time management confidence, school-life balance satisfaction, confidence managing academic challenges, feeling overwhelmed by academic responsibilities, classes missed due to mental health, difficulty concentrating, frequency of mental health negatively impacting academic performance, and difficulty completing coursework (8 investigator-developed items).
Statistical approach: Pre-post changes are analyzed using Wilcoxon signed-rank tests with normality of change scores assessed via Shapiro-Wilk tests. Effect sizes are calculated as Cohen's d (mean change / SD of change scores). Three analysis groups are examined: 1) the primary per-protocol sample of 8-week completers with confirmed objective app engagement (i.e., having at least one recorded app session exceeding one second); 2) a secondary analysis of all 8-week completers regardless of objective engagement status; and 3) a tertiary full-enrollment analysis using last observation carried forward (LOCF) imputation as a conservative lower-bound estimate, with multiple imputation as a sensitivity check. Additional analyses examine dose-response relationships, subgroup differences (age, sex, race/ethnicity, student type), and baseline severity effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRAY.COM App | Experimental | Participants were asked to used the PRAY.COM mobile app for at least 10 minutes per day for 8 weeks, with assessments at baseline, 4 weeks, and 8 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRAY.COM Mobile Application | Behavioral | PRAY.COM is a nondenominational, Bible-based faith and prayer mobile application delivering daily prayers, guided meditations, scripture readings, bedtime stories, podcasts, and worship music. Participants were instructed to use the app for at least 10 minutes per day for 8 weeks but were not given specific instructions regarding which features to engage with. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability (satisfaction) | Percentage of participants reporting satisfied or very satisfied; benchmark ≥75% | Measured at 4 weeks and 8 weeks |
| Demand | Percentage of participants reporting at least weekly app use; benchmark ≥70% | From enrollment to 4 and 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived appropriateness | Percentage rating PRAY.COM as very or extremely appropriate for students | 4 weeks and 8 weeks |
| Intent to continue use | Percentage reporting likely or very likely to continue using PRAY.COM after the study |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Huberty, PhD | Fit Minded | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRAY.COM (Online Only) | Westlake Village | California | 91361 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Laird B, Hook JN, Van Tongeren DR, Zuniga S, Hall T, Huberty J. The impact of using a faith and prayer mobile application, Pray. com, on mental health and well-being. Spirituality in Clinical Practice. 2025 Dec;12(4):502. | ||
| 38306173 | Background | Laird B, Zuniga S, Hook JN, Van Tongeren DR, Joeman L, Huberty J. Mental Health and Well-Being in Racial or Ethnic Minority Individuals After Using a Faith and Prayer Mobile App (Pray.com): Feasibility and Preliminary Efficacy Trial. JMIR Form Res. 2024 Feb 2;8:e52560. doi: 10.2196/52560. | |
| 38358455 |
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Individual participant data will not be publicly shared. De-identified data may be made available upon reasonable request to the corresponding author.
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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| 4 weeks and 8 weeks |
| Depressive symptoms | Measured by the Depression Anxiety Stress Scale (DASS-9). Scores range from 0-9 with higher scores indicating greater symptom severity. | Baseline, 4 weeks, 8 weeks |
| Anixety | Measured by the Depression Anxiety Stress Scale (DASS-9). Scores range from 0-9 with higher scores indicating greater symptom severity. | Baseline, 4 weeks, 8 weeks |
| Stress | Measured by the Depression Anxiety Stress Scale (DASS-9). Scores range from 0-9 with higher scores indicating greater symptom severity. | Baseline, 4 weeks, 8 weeks |
| Loneliness | Measured by the UCLA Loneliness Scale (UCLA-3). Total scores range from 3-9, with higher scores indicating greater loneliness. | Baseline, 4 weeks, 8 weeks |
| Sense of Purpose and Meaning | Measured by two adapted items from the Claremont Purpose Scale. Scores range from 2-10 with higher scores indicating greater meaning and purppose. | Baseline, 4 weeks, 8 weeks |
| Time Management Confidence | Investigator-developed item with a 5-point scale (0=not at all confident to 4=extremely confident) | Baseline, 4 weeks, 8 weeks |
| School-life balance satisfaction | Investigator-developed item with a 5-point scale (1=very dissatisfied to 5=very satisfied) | Baseline, 4 weeks, 8 weeks |
| Confidence managing academic challenges | Investigator-developed item with a 5-point scale (0=not at all confident to 4=extremely confident) | Baseline, 4 weeks, 8 weeks |
| Feeling overwhelmed | Investigator-developed item; 6-point scale (0=never to 5=daily) | Baseline, 4 weeks, 8 weeks |
| Difficulty concentrating | Investigator-developed item; 5-point scale (0=not difficult at all to 4=extremely difficult) | Baseline, 4 weeks, 8 weeks |
| Classes missed due to mental health | Investigator-developed item; 5-point scale (0=0 to 4=4 or more) | Baseline, 4 weeks, 8 weeks |
| Mental health negatively impacted academics | Investigator-developed item; 5-point scale (0=never to 4=always) | Baseline, 4 weeks, 8 weeks |
| Difficulty completing coursework | Investigator-developed item; 6-point scale (0=never to 4=daily) | Baseline, 4 weeks, 8 weeks |
| Background |
| Laird B, Van Tongeren DR, Hook JN, Do B, Hall T, Huberty J. Exploring User Perceptions of a Mobile App for Religious Practices. J Relig Health. 2024 Jun;63(3):2068-2090. doi: 10.1007/s10943-024-02004-9. Epub 2024 Feb 15. |