Assessment & Research

An illustration of using multiple imputation versus listwise deletion analyses: the effect of Hanen's "More than words" on parenting stress.

Lieberman-Betz et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

The way you handle blank parent surveys can falsely paint Hanen MTW as stressful for depressed moms.

✓ Read this if BCBAs who run parent-training groups and write up the results.
✗ Skip if Clinicians who only collect a large share complete data.

01Research in Context

01

What this study did

The team looked at 62 parents who took Hanen’s “More Than Words” class.

Parents filled out stress surveys before and after the the study period.

Some surveys were blank. The authors ran the same numbers two ways: toss the blanks (listwise) or fill them in (multiple imputation).

02

What they found

Listwise deletion said the program hurts highly depressed parents. It made them look more stressed.

Multiple imputation said the program is neutral. No extra stress appeared.

Same kids, same parents, same class—opposite answers—just because of how missing surveys were handled.

03

How this fits with other research

McGarty et al. (2018) also used parent training, but they paid caregivers 50 cents a visit. Their tiny reward lifted both attendance and child skills. They kept every data point, so no deletion fight was needed.

Conine et al. (2025) coached parents to teach response-to-name. They saw gains fade when reinforcement stopped. Their single-case graphs kept all data; again, no missing-data headache.

Wolchik et al. (1982) ran a parent lottery and saw language jump. They used reversal designs that require full data sets. These older studies look cleaner, yet they never tested what happens when surveys walk away.

04

Why it matters

If you run parent groups, missing surveys are normal. Deleting them can make your good program look harmful. Use multiple imputation or another fill-in method before you sound the alarm. Check your stats software default—listwise is often the factory setting. Flip it so your data tell the truth, not the easy lie.

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Open your last parent-training data set, switch from listwise deletion to multiple imputation, and re-run the outcome report.

02At a glance

Intervention
parent training
Design
other
Population
autism spectrum disorder
Finding
inconclusive

03Original abstract

This investigation illustrates the effects of using different missing data analysis techniques to analyze effects of a parent-implemented treatment on stress in parents of toddlers with autism symptomatology. The analysis approaches yielded similar results when analyzing main effects of the intervention, but different findings for moderation effects. Using listwise deletion, the data supported an iatrogenic effect of Hanen's "More Than Words" on stress in parents with high levels of pretreatment depressive symptoms. Using multiple imputation, a significant moderated treatment effect with uninterpretable regions of significance did not support an iatrogenic effect of treatment on parenting stress. Results highlight the need for caution in interpreting analyses that do not involve validated methods of handling missing data.

American journal on intellectual and developmental disabilities, 2014 · doi:10.1352/1944-7558-119.5.472