There are 2 main ways of estimating the average treatment effect in a
2-group pretest-posttest study: the gain score and the covariance adju
stment estimator. The difficulty of the estimation problem arises from
the fact that it involves missing posttest data. The gain score and t
he covariance adjustment estimator both use the pretest to predict the
se missing data, but in different ways: The gain score estimator treat
s the pretest as a baseline and the covariance adjustment estimator tr
eats it as a covariate. Using a result by D. B. Rubin (1977), it is sh
own that, if the assignment is not on the basis of the pretest, there
is no basis for preferring the covariance adjustment estimator over th
e gain score estimator. Contrary to what is sometimes suggested, regre
ssion toward the mean is not a reason for not using the gain score est
imator; neither is measurement error in the pretest, unless the assign
ment is affected by the pretest.