Introduction to Study

Barry University
11300 NE 2nd Avenue
Miami Shores, FL 33161

Dear Research Participant:

Your participation in a research project is requested. The research project is being conducted by Gena A. Rowlands, LCSW, CAP, a doctoral student in the School of Social Work at Barry University,  under the supervision of dissertation chair Dr. Sarah Lewis, PhD. The title of the research project is “Parental Alienation: A Measurement Tool”.

Ms. Rowlands is seeking information that will be useful in the field of Social Work and Child Welfare. The aim of the research is to develop a measurement tool which will identify both the presence and severity of parental alienation. In accordance with these aims, the following procedure will be used: A background questionnaire, a brief screening tool titled Hurt-Insult-Threaten-Scream (HITS), a questionnaire titled the Parental Alienation Scale (PAS),  a questionnaire titled the Baker-Darnall (2007) Survey, and a questionnaire titled the Child-Parent Relationship Survey will follow this letter for your completion. Ms. Rowlands anticipates a minimum of 500 participants will respond to the study.

If you decide to participate in this research, you will be asked to do the following: Answer the questions on each of the questionnaires identified above. The questionnaires are estimated to take no more than 25 minutes to complete. Your consent to be a research participant is strictly voluntary and should you decline to participate or should you choose to drop out at any time, there will be no adverse effects. You can quit the survey at any time without submitting and none of the data will be collected or used in the study.

The risks of involvement in this study are minimal however given the nature of the questions included,  there could be potential emotional discomfort. To this point, if you are unable to complete the questionnaires or would prefer not to respond to specific questions, you are under no obligation to do so. There are no direct benefits to you for participating in this study; however, your participation will contribute to research in the areas of parental alienation, social work, and child welfare.

As a research participant, information you provide is anonymous, that is, no names or other identifiers will be collected. Survey allows researchers to suppress the delivery of IP addresses during the downloading of data, and in this study no IP address will be delivered to the researcher. However, does collect IP addresses for its own purposes. If you have concerns about this you should review the privacy policy of before you begin.

By completing and submitting this electronic survey you are acknowledging that you are at least 18-years-old and that you voluntarily agree to participate in the study.

If you have any questions or concerns regarding the study or your participation in the study, you may contact Ms. Rowlands by phone at (561) 523-0484 or by email at You can also contact her dissertation chair, Dr. Sarah Lewis, PhD,  at (305) 899-3900 or email at You may also contact the Institutional Review Board point of contact, Barbara Cook, by phone at (305) 899-3020 or by email at

Thank you for your participation.


Gena A. Rowlands, LCSW, CAP

Print this page if you need proof of participation