Sharpen® Health
Clinical & Scientific Validity

Twenty years of
evidence.

Sharpen® DTX was built on two decades of public health prevention and community-based research drawn from more than 50,000+ stakeholder surveys, hundreds of documentary listening sessions, and real-world deployment across diverse clinical settings before a single line of commercial code was written.

Platform Evidence at a Glance
25+
Academic and research institution partnerships
30
Clinical studies across multiple populations
57%
Average engagement rate vs. 4-11% industry benchmark
Evidence-Based Framework

15 clinical frameworks.
One platform.

Every Sharpen® DTX module is built from the ground up on validated clinical science.

CBTDBTZero SuicideCAT-MHTrauma-Informed CareCBPRMental Health LiteracySocial-Ecological ModelSafety PlanningSMART-on-FHIR
Mental Health Literacy

Kutcher et al. (2016) framework improving understanding of mental health, reducing stigma, and increasing help-seeking behaviors across populations.

Suicide Prevention

Zero Suicide framework and HHS safety planning interventions (2024), with integrated CAT-SS computerized adaptive screening and 988 crisis escalation.

CBT and DBT

Cognitive Behavioral and Dialectical Behavior Therapy techniques embedded across 700+ therapeutic modules created with 4,000+ documentary-style peer, strength-based videos.

Trauma-Informed Care

Burke Harris et al. (2020) principles addressing protective factors at individual, family, and community levels through the Social-Ecological Model.

Community-Based Research

20 years of CBPR through documentary listening sessions, with 50,000+ post-program surveys and 400+ research surveys informing every module.

Digital Safety Planning

Stanley et al. (2014, 2015) digital safety planning protocols with computerized adaptive testing in mental health and real-time alert systems.

Clinical Research Evidence

Multiple studies. Diverse populations.
Consistent results.

Cosgrove et al. · 2025

Clinical Waitlist Management: Prisma Children's Hospital

Clinician-prescribed DTX delivered via Epic integration to pediatric eating disorder patients on the waitlist. Voluntary engagement rate of 59.4% exceeded the 4–11% digital health industry benchmark. Director of Adolescent Medicine subsequently expanded Sharpen DTX across all levels of care.

Biber, Davis & Stewart · 2023

Mobile Platform for Division II Student-Athlete Mental Health Screening

Integrated Heads Up Checkup (HCU) pediatric self-report screening with Sharpen Athlete for Division II student-athletes. Establishes best practices for deploying mobile mental health screening at scale across middle school, high school, and collegiate athletic settings.

Patrizi et al. · 2019

Effects of 8-Week Mindfulness Training on Adolescent Volleyball Athletes

Examined the effects of Robyn Hussa Farrell's 5 Minute Mindfulness™ program on adolescent volleyball athletes (VCOM/Upward Sports). Somatic anxiety significantly reduced at 4 and 8 weeks (p<0.01); athlete confidence rose to elite-athlete levels by week 8.

Hussa Farrell et al. · 2026

10 Years of Digital Therapeutics Implementation: ACM CHI Conference

Accepted case study at ACM CHI 2026 (Barcelona). Draws on 10+ years of server-side engagement data across Sharpen deployments, documenting 56.84% average engagement rates versus the 4–11% digital therapeutics industry standard.

Hussa Farrell R. · 2025

Proven Tier 1, 2 and 3 Mental Health Solutions Every School Needs Now

Addressed multi-tier (universal, targeted, intensive) mental health solutions for school behavioral health systems, drawing on Sharpen's validated SMHL curriculum and multi-year outcomes data from K–12 implementations.

Hussa Farrell R. · 2022

Trauma-Informed Technology Best Practices in Schools

Invited state-level presentation to New Mexico public health and education leadership on deploying Sharpen's digital mental health literacy and screening tools in school and community settings.

Cosgrove, Hussa Farrell & Farrell · 2025

Sharpen Digital Therapeutic Interventions for Adolescent Mental Health

Clinical outcomes white paper from the Prisma Health pilot (N=37 eating disorder patients on waitlist). 59.4% voluntary engagement rate — 5–14× the digital health industry standard. Adolescents 14–17 accounted for 87% of usage; top content: body image and self-acceptance.

Hussa Farrell R. & Abel C. · 2025

Efficacy of Mental Health Literacy Training for College Peer Mentors

White paper on Sharpen MHL's preparation of Vescent college peer mentors. 100% crisis protocol comprehension; 85% greater readiness for mental health conversations; 88% improved understanding of trauma, eating disorder, and suicide risk connections.

Minkel, Pish & Hussa Farrell · 2024

Sharpen® Platform Engagement & Activation

Platform analytics white paper documenting real-world Sharpen DTX engagement across implementations. Benchmarks 5–14× the digital therapeutics industry standard, providing the empirical foundation for value-based care and payor-facing outcomes positioning.

Whelan et al. · 2024–2026

Athlete Mental Health and Suicide Prevention: Division I Athletics

Universal CAT-MH® screening with real-time clinical triage via Sharpen DTX dashboard. Of 1,275 student-athletes screened, 126 (9.9%) were flagged for elevated suicide risk — all received same-day clinical intervention.

Biber, Hussa Farrell et al. · In Review

Sharpen Athlete: An Integrated Clinical Triage Platform for Athlete Mental Health and Suicide Prevention

Submitted conference presentation to the Association for Applied Sport Psychology Annual Meeting (Minneapolis, MN). Reports three-year Division I Sharpen Athlete outcomes: 1,275 athletes screened, 9.9% flagged for elevated suicide risk, 100% same-day clinical triage.

Biber, Hussa Farrell & Farrell · In Review

University Student-Athlete Perceptions of Mental Health and Coping

Qualitative investigation of university student-athlete perceptions of mental health and coping strategies through the Sharpen Athlete research program at UWG. Complements the quantitative Biber, Davis & Stewart 2023 screening study. Submitted to Journal for the Study of Sports and Athletes in Education (January 2026).

Biber · 2022

Division II Student-Athlete Perceptions of Mental Health: A Qualitative Investigation

Qualitative investigation of Division II student-athlete mental health perceptions presented at the 2022 International Organization for Health, Sports, & Kinesiology 5th International Conference, Las Vegas, NV. Foundational qualitative work supporting the Sharpen Athlete research program.

Fadel et al. · 2024

Medical Student Mental Health Literacy: Edward Via College of Osteopathic Medicine

Pre-post evaluation of Sharpen Mindful MEDS with VCOM medical students (N=54). MHL improved 12.8 points (p<0.0001, d>1.0); stigma scores dropped on the Opening Minds Scale. Equity finding across all class years, genders, and races.

Fadel, Estep, Stoner et al. · In Review

Educational Intervention on Eating Disorders for Medical Students and Residents

Outcomes of the Sharpen SEDAP program piloted with medical students and residents at VCOM and Spartanburg Regional Healthcare System. Documents significant improvements in provider confidence and attitudes toward patients with eating disorders. Submitted to Medical Education (January 2025).

Smith, Fadel, Stoner et al. · In Review

Sharpening Community Health Worker Skills to Combat Eating Disorders

Effectiveness of Sharpen eating disorder training extended beyond medical students to community health workers. Broadens the SEDAP research program to community health workforce development. Submitted to International Journal of Medical Students (February 2026).

Rios et al. · 2024

Healthcare Provider Suicide Prevention Training

Customized Sharpen app with 9 evidence-based suicide prevention courses for NYC healthcare providers. Low provider confidence eliminated following training; 200+ certifications issued to licensed clinicians and health workers.

NY OMH Year 3 Eval · 2025

VNS Health Safe Pathways Suicide Prevention: New York City

Multi-component NY OMH-funded program integrating professional development, parent MHL toolkits, and youth peer resiliency (ages 10–25). Year 3 evaluation: >85% client/family satisfaction, TFA fidelity 3.04/4.0, 200+ certifications issued.

Hussa Farrell, Farrell & Biber · Forthcoming

Foster Parent Mental Health Literacy: SC Foster Parent Association

Longitudinal IRB-approved study (N=334 completers) examining Sharpen SMHL's impact on foster parent resilience and self-compassion. Brief Resilience Scale d=0.267 (p<0.001); Self-Compassion Scale d=0.242 (p<0.001). Completion rate 83.33% — far exceeding digital therapeutics benchmarks.

Biber, Davis & Hussa Farrell · In Review

Three-Year Analysis: Sharpen MHL for Foster Parents

Longitudinal IRB-approved study (N=334 completers) of Sharpen SMHL with the South Carolina Foster Parent Association. Brief Resilience Scale d=0.267 (p<0.001); Self-Compassion Scale d=0.242 (p<0.001). Completion rate 83.33% — exceeding digital therapeutics attrition benchmarks. Submitted to Children and Youth Services Review.

Biber & Rothman · 2024

College Female Peer Mentoring Program

Qualitative pilot (N=16 psychology students) evaluating Sharpen MHL's efficacy in training college female peer mentors. 85% reported significantly greater preparedness for mental health conversations; 88% improved understanding of trauma, eating disorder, and suicide risk connections.

Levy et al. · Forthcoming 2026

College Mental Health Literacy: University of West Georgia

Pre-post evaluation of Sharpen MHL embedded in a UWG undergraduate health science course (N=29). 98% quiz completion, 94% average assessment scores, effect size d>1.0 on mental health literacy. Pending publication in Journal of American College Health.

Hussa Farrell · 2022

Community and College Suicide Implementation Best Practices with Sharpen®

Invited state-level presentation at the Zero Suicide Summit (Oklahoma Department of Mental Health and Substance Abuse Services) demonstrating how Sharpen operationalizes the Zero Suicide framework for community and college settings.

Hussa Farrell & Karydi · 2022

Suicide Postvention Best Practices

Expert panel webinar with Dr. Alex Karydi covering postvention best practices for school, clinical, and community settings. Topics: prevention vs. postvention distinctions, contagion risk, supporting bereaved communities, and safe messaging guidelines.

Hussa Farrell & Farrell · 2021, 2022

Sharpen® for Attachment and Trauma Network: Foster Family Resilience

Annual presentations to the Attachment and Trauma Network demonstrating Sharpen's trauma-informed MHL and MBSR content for foster and adoptive families. Highlighted outcomes from the multi-year SCFPA partnership and Sharpen Family's SC DSS certification.

Hussa Farrell · 2026

Seamless Multi-Level Prevention Logic Model Validation

Multi-year retrospective analysis validating Sharpen's social-ecological logic model across primary, secondary, and tertiary prevention. Across 60+ toolkit implementations: 56.84% average engagement, 96% positive recommendations, 7,551+ transitions from education to crisis resource activation.

Engagement Benchmarks

Why engagement matters
in digital therapeutics.

A digital therapeutic that nobody uses is just software. Industry attrition rates run 89-96%. Sharpen's engagement rates across every population studied are categorically different, and predate the AI personalization layer currently in development with UC Berkeley.

Engagement Rate Comparison
Sharpen (Platform Average)57%
Prisma Health Pilot (2025)59%
Division I Athletes (2025)83%
Industry Benchmark (digital mental health)4-11%
4,500+Hours of user engagement across all implementations
7,600+Documented transitions from education to crisis resource activation
10-44 minAverage session duration vs. 3-5 min industry standard
96%Of users report the platform is effective; 96% would recommend
Published White Papers

Research outputs &
white papers.

2026Hussa Farrell, R., & Farrell, T. The Sharpen system: Seamless multi-level prevention — Evidence-based logic model validated through server-side engagement data from 9 prevention toolkit implementations (2019–2026) [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2026Hussa Farrell, R., & Farrell, T. Clinical decision support evaluation best practice guide: FDA regulatory framework for behavioral health digital tools [White paper]. Resiliency Technologies, Inc.White Paper
2026Davis, A., Biber, D., Stewart, B., Cosgrove, V., Minkel, J., Wulczyn, H., Farrell, T., & Hussa Farrell, R. Integrated clinical triage platform for athlete mental health and suicide prevention: Real-time decision support enabling 100% same-day intervention across 1,275 student-athletes [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2025Cosgrove, V., Hussa Farrell, R., & Farrell, T. Sharpen digital therapeutic interventions for adolescent mental health [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2025Hussa Farrell, R., & Abel, C. Efficacy of mental health literacy training for college peer mentors: Sharpen MHL impact on Vescent mentors [White paper]. Resiliency Technologies, Inc.White Paper
2024Minkel, J., Pish, M., & Hussa Farrell, R. Sharpen® platform engagement & activation [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2024Hussa Farrell, R., & Farrell, T. Sharpen suicide prevention: Evidence-based toolkits for youth [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2024Fadel, N., Stoner, A., Berreta, K., Wilson, A., Ridgeway, L., Biber, D. D., & Garner, H. A process evaluation of a mental health mobile app for medical students aimed at increasing resilience and decreasing stigma. Cureus, 16(6), e63054. doi.org/10.7759/cureus.63054Journal
2024Biber, D., & Rothman, E. Qualitative evaluation of mental health literacy training for college females: Implications for peer mentoring programs. Journal of College Student Development, 64(1), 104–110. eric.ed.govJournal
2023Biber, D. D., Davis, A., & Stewart, B. Heads up! Using a mobile platform to assess Division II student-athlete mental health. Journal of Sport Psychology in Action, 15(4), 1–11. doi.orgJournal
2023Berreta, K., Nguyen, C., Stoner, A. M., Ridgeway, L., Wilson, A., Fadel, N., & Biber, D. A RE-AIM analysis of a mental health app for undergraduate and medical students during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 20(13), 6266. doi.orgJournal
2023Biber, D. The impact of an mHealth mental health literacy training for foster parents. Trends in Psychology. doi.orgJournal
2022Hussa Farrell, R., & Farrell, T. Sharpen suicide prevention for children and adolescents [White paper]. Resiliency Technologies, Inc. sharpenminds.comWhite Paper
2020Parker, J., Olson, S., & Bunde, J. The impact of trauma-based training on educators. Journal of Child and Adolescent Trauma, 13, 217–227. doi.orgJournal
2017Anderson, C. N., Holody, K. J., Flynn, M. A., & Hussa-Farrell, R. An exploratory evaluation of the feasibility, acceptability, and efficacy of the mental fitness disordered eating program in schools. Eating Disorders, 25(3), 230–245. doi.orgJournal
In ReviewLevy, J., Hussa Farrell, R., Farrell, T., Pish, M., Fassas, J., Reed, E., Hinshaw, S., & Biber, D. A program evaluation of the Sharpen Mental Health Literacy college course at a southeastern university. Journal of American College Health (forthcoming).Journal
In ReviewBiber, D. D., Hussa Farrell, R., & Farrell, T. A three-year analysis of the Sharpen Mental Health Literacy training for foster parents. Children and Youth Services Review (submitted March 2026).Journal
In ReviewFadel, N., Estep, C., Stoner, A., Gainey, M., Brewerton, T. D., Biber, D. D., Redden, D., & Hussa Farrell, R. Educational intervention on eating disorders for medical students and residents. Medical Education (submitted January 2025).Journal
In ReviewSmith, H., Fadel, N., Stoner, A., Gainey, M., Brewerton, T., Biber, D. D., Redden, D., Farrell, T., & Hussa Farrell, R. Sharpening community health worker skills to combat eating disorders. International Journal of Medical Students (submitted February 2026).Journal
In ReviewBiber, D. D., Hussa Farrell, R., & Farrell, T. University student-athlete perceptions of mental health and coping. Journal for the Study of Sports and Athletes in Education (submitted January 2026).Journal
Research Collaboration Network

Built with the institutions
that set the standard.

25+Academic institutions
250+Researchers and collaborators
Clinical and Academic
  • Edward Via College of Osteopathic Medicine (VCOM)
  • James Madison University
  • Prisma Health Children's Hospital
  • Stanford Children's Hospital / Stanford University School of Medicine
  • UC Berkeley Center for Data Science and Society
  • UC San Francisco (UCSF)
  • VNS Health / New York State Office of Mental Health
Government and Strategic
  • Ainsley Health AI
  • AWS Premier Tier Services
  • FDA: 5 meetings; 513(g) recommended as next step
  • Live Well San Diego
  • NY Office of Mental Health
  • SAMHSA (active suicide prevention grant)
  • SC Department of Social Services
  • South Carolina Research Authority
  • Stanford/UCSF Pediatric Device Consortium
Partner with Us

Interested in the clinical data
or research collaboration?

We actively partner with academic medical centers, research institutions, and health systems. Download the full Clinical Brief or contact our research team directly.