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. 2020 Apr 26;16(2):117–130. doi: 10.5709/acp-0290-x

Analysis of Factor Validity of the Support Intensity Scale on Bosnian–Herzegovinian Sample

Alma Dizdarevic 1, Zulfo Ahmetovic 2, Daniel Malec 2, Amila Mujezinovic 1, Melika Ahmetovic 3, Fata Zilic 1, Senad Mehmedinovic 1
PMCID: PMC7335431  PMID: 32665803

Abstract

Since the development of the original Support Intensity Scale—Adult Version (SIS-A) and the Support Intensity Scale—Child Version (SIS-C), the interest in supporting people with intellectual disabilities (ID) has changed. Resource allocation, better quality of resource utilization in the rehabilitation process, the development of support systems, and redefining the roles of organizations that support people with ID are just some of the changes. The aim of this study was to determine the factor structure of the SIS-C conducted on a sample of Bosnian–Herzegovinian (B&H) children (SISC B&H). The study included 377 children ID in B&H, aged 5-16. The data was analyzed with the SPSS 21 software (with the AMOS package). Exploratory factor analysis (EFA) was used to examine the factor structure of the SIS-C. Confirmatory factor analysis (CFA) was applied to determine the factor and constructive validity of SIS-C B&H. The CFA results indicated a poor fit of both the theoretical and empirical models even after modifications were made. The EFA showed the opposite results. This could be explained by the fact that within the factor solutions obtained from the EFA, various aslope or orthogonal models, linear or hierarchical, can be constructed. Among these models, some exhibited good fit to the data. Thus, data from the current study could be used to generate new hypotheses and deliver more conclusive answers.

Keywords: intellectual disability, support intensity, validity

Introduction

Intellectual disability (ID) is a neurodevelopmental disability characterized by limitations in intellectual functioning and adaptive behavior, resulting in the need for extraordinary support for the person to participate in activities involved with typical human functioning (Schalock et al., 2010). Human functioning in general depends on two important factors: the person's ability to participate in different activities and the environment that gives possibilities for active participation. This is a particularly sensitive issue when it comes to children with intellectual and developmental disabilities (ID/DD), especially in the context of countries without existing early intervention or support services in the school environment.

Because ID must be manifested in the developmental period (birth to 18 years of age) it is also a developmental disability. Developmental disability is a broad nondiagnostic category that includes people with both cognitive and physical disabilities originating in childhood, constituting a significant challenge to typical functioning, and expected to continue indefinitely (Thompson & Wehmeyer, 2008).

Children with ID/DD require extra support to live, learn, and participate as full members of a modern society. Understanding the needs of children with ID/DD is essential for planning and developing appropriate support that can bridge the gap between people’s current and desired life experiences (Thompson et al., 2009). The social-ecological model of disability (ICF; World Health Organization, 2001) which has been strongly advocated over the last two decades, has contributed significantly to changing the way in which people and children with ID/DD are evaluated.

Measuring the intensity of required support has been introduced at the international level through the first standardized, norm-referenced instrument, the Support Intensity Scale (SIS) for persons aged 16-64 (Thompson et al., 2004). A new psychological construct—the support needs - refers to the intensity of necessary support that a person needs in order to participate in daily life activities (Thompson et al., 2009). Support, in this case, is related to resources and strategies that can improve a person’s functioning (Luckasson et al., 2002). These resources and strategies vary from person to person and depend on many factors. The construct of support needs is based on the premise that human functioning is influenced by the extent of congruence between individual capacities and the environments in which that person is expected to function (Thompson et al., 2014).

Numerous studies have confirmed that the purpose of the SIS is primarily to be used for individual support planning and resource allocation (Smith & Fortune, 2008; Thompson et al., 2004; Weiss et al., 2009). It is further recommended that the SIS would be helpful to state systems in the decision-making process for education planning or resource allocation where the international interest in linking financial resources with the evaluation or assessment for support is enhanced (Kimmich et al., 2009; Schalock et al., 2008; Seo et al., 2016; Thompson et al., 2014; Van Loon, 2009).

From the time of the development of the original SIS to this day, this interest has changed from fairness to resource allocation through better quality resource utilization in the process of rehabilitation and development of support systems and through redefining the roles of organizations that support people with ID (Smith & Fortune, 2008). Diagnosis alone is a poor predictor of the response to service, and a more holistic approach to needs assessment is needed (Mason & Goddard, 2009; Salvador-Carulla et al., 2011; Snell et al., 2009). In the case of adults with intellectual disabilities, the Support Intensity Scale-Adult Version (SIS-A) has a very good empirical support for its validity, internal consistency, and test-retest reliability (Thompson et al., 2004).

The SIS-A was used in the development of the Support Intensity Scale-Children’s Version (SIS-C) in order to better indicate the support needs of children with ID/DD and planning in an educational context. The SIS-C (Tassé & Thompson, 2010) is designed to determine the profile and intensity of the support needs of children with ID aged 5-16. Originally developed by the American Association on Intellectual and Developmental Disabilities (AAIDD), the SIS-C is nowadays being translated into different languages in a manner parallel to the validation of the original version. Seven subscales have been included in this scale. The primary purpose of this scale is to address the shortage of standardized and validated measures of support needs for children, while considering the unique environment demands of childhood that include the demands of learning and participating in educational contexts (Thompson et al., 2014). The SIS-C would be useful for transition assessment and supports planning in younger children (Seo et al., 2016). Initial analysis of the SIS-C standardization sample suggests it is a valid and reliable tool for measuring support needs in children (Thompson et al., 2014).

Due to a lack of appropriate instruments for assessing the social adaptation of persons with ID, adaptation and standardization of Adaptive Behavior Scale (Nihara et al., 1969)—has been made in Bosnia and Herzegovina (Skala adaptivnog ponašanja, AAMD, Igrić & Fulgosi-Masnjak, 1991). The AAMD assesses two areas—activities of everyday life and behavioural difficulties. The vast majority of experts in the field use this scale on a regular basis. However, the key differences in defining ID lie in the change in the concept of adaptive abilities as well as in the classification system based on the intensity of needed support, measured by a four-level scale of support instead of 10 areas of adaptive skills, as it was done before (Luckasson, et al.,1992). The relation between support needs and adaptive behavior was a subject to research for many years. There is a consensus that these constructs are both related but ultimately different. There is also a reciprocity between support needs and adaptive behavior. Taking into consideration that persons with greater abilities need less support, it is expected that needed support decreases with age. It is for this reason that an instrument is needed in B&H to be used for assessment and creation of individual programs as well as for allocation of human and needed resources.

The aim of this study was to compare the factor structure of the SIS-C in a sample of B&H children (SIS-C B&H) with the factor structure of the original SIS-C version.

Methods

Participants

The survey included 377 children with ID/DD in B&H, aged 5-16. Children with ID/DD are educated in regular schools and in special schools. Inclusive education in primary schools is accessible for all categories of children with special needs, but only a small number of pupils with disabilities are officially registered. There is no official data on the exact number of children with ID/DD in B&H. The participants were selected based on incidental sampling, with age (5-16 years old) and the presence of an intellectual disability (mild, moderate, severe, or profound) as the main inclusion criteria. Each participant had anamnestic data with information of presence and level of intellectual disabilities collected through previous psychological processing and assessment of standardized measuring instruments of the intelligence quotient (IQ).

A letter was sent to schools in B&H to recruit the required number of participants. After the initial contact, the schools which agreed to participate in the study received a formal letter and an informed consent form. These had to be voluntarily signed by the parents of all of the children. More than 20 schools, five special and 15 regular, participated in the study. After performing the evaluations and eliminating all the cases in which the data were missing, 377 evaluations were analysed.

Demographic information about all the participants was gathered through an initial questionnaire included on the cover page of the scale. All five special schools participated in the current study, with 521 pupils with ID, aged from 3 to 21 years. Of the entire number of included pupils with ID, 70% attended special schools and 30% attended regular schools, 62.9% were male, and 37.1% were female. The mean age of the total sample was 10.73 years (SD = 3.34). Table 1 provides additional child demographic information.

The participants were all born in B&H and had already been diagnosed by the Commission for the Categorization of Children with Special Needs as having mild (30.2%), moderate (35.3%), severe (32.4%) and profound (2.1%) intellectual disability. Most of the participants had the presence of other, concurrent conditions and disorders at the time of the data collection, similar to the original SIS-C sample. The assessment was based on the judgment of other informants who knew the child well (teachers or staff directly involved in supporting the child). Specifically, 44 main informants were direct-care professionals (67.7%) and 21 were teachers or staff directly involved in supporting the child (32.3%).

Table 1.

Table 1

Demographic Characteristics of the Sample

Procedure

The SIS-C B&H scale was translated, adapted, and pilot-tested. The scale was developed through a rigorous process of test adaptation and translation based on the approach given by Tassé and Thompson ( 2010). This approach included three boards, comprised of translators, bilingual experts, and potential users.

The SIS-C B&H adopted the US process of data collection, where the scale was originally developed by a leading organization for defining ID in the world (Thompson et al., 2016). The agreement on the use of the AAIDD scale was signed as well. The data were stratified into two-year groups: 5-6, 7-8, 9-10, 11-12, 13-14, and 15-16 years old. Furthermore, the sample was stratified in age groups with respect to the level of adaptive functioning (mild, moderate, severe, and profound).

Instruments

This SIS-C scale has been developed according to the characteristics of the SIS-A (Thompson et al., 2004) and based on the socio-ecological concept of intellectual disability (Schalock et al., 2010). The aim of adapting this scale for children and adolescents (5–16 years old) was to allow for the assessment of individualized support needs at an early age, therefore facilitating the provision of individualized support and improving the quality of life.

The SIS-C B&H translation is a standardized assessment and a valid means to measure the relative intensity of support needs of children with ID/DD between ages 5 to 16.

The SIS-C B&H consists of a series of items grouped into seven areas:

1. A-Life at home: 9 items 2. B-Community and neighborhood: 8 items 3. C-Participation in school: 9 items 4. D-School learning: 8 items 5. E-Health and safety: 9 items 6. F-Social skills: 9 items 7. G-Advocacy activities: 8 items.

The first part of SIS-C B&H additionally includes general information about the child being evaluated: gender, chronological age, level of intelligence, level of adaptive behavior, origin, place of residence, etiology, combined difficulties in children, assistive technology.

The SIS-C B&H was filled in by an interviewer. The interviewer who interviewed an individual child with intellectual disabilities collected information from at least two other informants. The interviews were conducted individually or with two or more informants at the time (group interview). Informants were persons who knew the child well (direct-care professionals, teachers, or staff directly involved in supporting the child).

Ratings reflected the level of support that a child needs to be successful in each of the observed activities. The concept of being successful is defined as engaging a child in all aspects of a particular activity in relation to contemporary school and social standards, which results in a maximum involvement (i.e., full participation) of the child in a given activity. In other words, successful engagement includes the level of achievement /involvement/participation in activities comparable with the child’s typical peers.

Once the data collection process has been completed, the standard result for each area was further calculated and the standard composite score was designated as the Needed Support Index.

Data Analysis

The data was analyzed with the SPSS 21 software with the and AMOS package. Exploratory factor analysis (EFA) was used to examine the factor structure of the SIS-C B&H. The principal components method has been used. In order to verify the factor solution of this measure in as many different ways as feasible, the orthogonal (Varimax) and slope rotations (Direct Oblimin rotation) of the factor frames were used. Confirmatory factor analysis (CFA) was applied to determine the factor and constructive validity of the SIS-C B&H.

Results

Exploratory Factor Analysis

The EFA was used to examine the factor structures of the SIS-C B&H. Two criteria for the final number of extracted factors were used: (a) to have an Eigen-root greater than 1 and (b) that they can explain at least 50% of the total variance of all items. Based on the value of communalities, it was concluded that the extracted factors explained at least 58.3% of the variance of an entire manifest variable (particle C4—Arrival to school (including transport)—type of support) and a maximum of 92.6% variance of one whole variable (G8—Participation in educational decision-making). The first extracted factor alone explained 74.22% of the total variance, which was above the minimum acceptable level of 50%. However, five factors had characteristic roots that were greater than 1 and these factors explained 83.59% of the total variance of all items. This indicates that the factor structure does not follow the theoretical or assumed structure with seven different factors. The EFA was used to examine the factor structures of the SIS-C B&H. Two criteria for the final number of extracted factors were used: (a) to have an Eigen-root greater than 1 and (b) that they can explain at least 50% of the total variance of all items. Based on the value of communalities, it was concluded that the extracted factors explained at least 58.3% of the variance of an entire manifest variable (particle C4—Arrival to school (including transport)—type of support) and a maximum of 92.6% variance of one whole variable (G8—Participation in educational decision-making). The first extracted factor alone explained 74.22% of the total variance, which was above the minimum acceptable level of 50%. However, five factors had characteristic roots that were greater than 1 and these factors explained 83.59% of the total variance of all items. This indicates that the factor structure does not follow the theoretical or assumed structure with seven different factors.

The Cattell scree-plot in Figure 1 shows the sudden flattening of the curve between the second and third factors. This means that the first factor contributes the most to the explanation of the total variance of all items. Other extracted factors, although having characteristic roots above 1, did not significantly contribute to this percentage. The unrotated saturation matrix confirmed the results of previous considerations that all questionnaire items could be explained only by one general factor. However, rotations of the reference factors frames were carried out to determine how the items were grouped around the other extracted factors.

All the items in Scales G and D and the majority of items in Scale C were grouped around first factor. All items in Scale E and about half of the items in Scales B and F were grouped around other factors. All the items in Scale A were scattered and a minority of Scale C items were grouped around the third factor. Scale B items were grouped around the fourth factor. Finally, half of Scale F items were grouped around the fifth factor. This factor solution did not match the theoretical (sevenfactor) model. It also did not distinguish clear item clustering in such a way that one factor corresponds solely to the items of several scales. Items from Scales G and D were exclusively saturated with the first factor and Scale A items were exclusively saturated with the third factor.

An aslope rotation was carried out to see if a clearer factor solution could be obtained. Direct Oblimin rotation wasused.

Based on the results of the analysis shown in Table 2 and after the formal rotation, a similar grouping of items was obtained. Again, all the items in Scales G and D as well as the majority of items in Scale C were grouped together around the fifth factor. All Scale E items and about half the items in Scales B and F were grouped around the second factor. Almost all Scale A items (with the exception of A1) and a small number of Scale C items were grouped around the third factor. B-scale items are grouped together around the fourth factor. Finally, half of Scale F items were grouped around the fifth factor. This factor solution did not match the theoretical (seven-factor) model, and it also did not distinguish clear item clustering. Only the items in Scale G were exclusively saturated with the first factor and items in Scale A—with the third factor.

Figure 1.

Figure 1

Cattell scree plot.

The factor structure matrix shown in Table 3 merely follows the factor pattern matrix. The only difference was that in factor structure matrix, the total saturation is displayed regardless of the structure of these saturations. On the other hand, in the factor pattern matrix, only saturations are shown exclusively with the factor when the other particle correlating factors are removed or partialized.

Confirmatory Factor Analysis

Besides the EFA, a CFA was also carried out. The EFA considered only the factor structure of the SIS-C B&H, without considering whether its structural model is in line with the theoretical model or if there is any other empirical model that would adequately explain its structure.

The CFA was applied to determine the factor and construct validity of the SIS-C B&H. The CFA is a statistically stronger procedure than the EFA as it impartially tests how much a theoretically based model corresponds to empirical data. It is preferable that the model fits better to the covariance matrix in the actual data. The model is modified or rejected if the analysis determines poor fit.

In the data analysis, different criteria of model suitability were used, that is, the matching index of empirical data with the theoretical model, the chi-square test and its correction with regard to the number of degrees of freedom (χ2 /df; relative χ2 ), and different comparative indexes (comparative fit index, CFI, normed fit index, NFI, root mean square error of approximation, RMSEA, goodness of fit index, GFI).

There are different opinions of psychometricians (according to Sram, 2014) on the values indicating structural quality. They agree that these values should not be less than the following: CFI and NFI greater than 0.90 (Bentler, 1992), RMSEA values lower than 0.10 (Browne & Cudeck, 1993), and GFI values equal to or greater than .85 (Cole, 1987, Nunnely & Bernstein 1994).

Therefore, the higher the CFI and NFI values and the lower the RMSEA values, the better the landing model. A good landing model is usually accepted if the value of a relative χ2 is less than 3.00, but some researchers accept the value of 5.00 (Mueller, 1996). The coefficients in the interval of 0-1 are the best fit indices, and the closer the indices are to 1, the more the structure of the instrument fits with the assumed one.

The theoretical model without the modifications is shown in Figure 2. All indices of fit were not satisfactory for this model (χ2 was significant and the term χ2 /df was still above 5.00, RMSEA was greater than 0.08, AFS, NFI, and CFI were lower than 0.90 or 0.92). According to statistical calculations, significant and noticeable values of the index of modifications were taken to test if the model would be compatible with the theoretical one and if it fits the data well. According to these indices, correlated errors were taken into account (only for the generic model or assuming the presence of a methodological factor within the scale, but not between them).

After the modifications shown in Figure 3, the fit indices have been improved, but they were still not satisfactory. Only the term χ2 /df indicated an adequate fitting of the model, but the values of all other indices indicated that the model was not functional and thus poorly fit.

For this reason, a model following the rotated matrix from the previous EFA was used (see Figure 4).

However, the empirical model in Figure 4 showed a very poor fit to data, achieving index values lower than the theoretical model. In this case, modifications were made in the same way as with the theoretical model.

After the modifications presented in Figure 5, the empirical model showed improvements on some indices, but the values of several other were still poorer than for the theoretical model. It can be concluded that the empirical model achieved a poor fit.

The CFA results shown in Table 4 indicate a poor fit of both the theoretical and empirical models, even after modifications were made. For this reason, the models tested on this data have to be rejected. Nevertheless, this does not imply a weak factor structure of the measure. On the contrary, the EFA showed the opposite results. This could be explained by the fact that within the factor solutions obtained from the EFA, various aslope or orthogonal models, linear or hierarchical, can be constructed and some of the good fits could certainly be found. This could be considered a desideratum for future research and the existing data from this study can certainly be used to generate new hypothesis and deliver conclusive answers.

Discussion and Conclusion

The present study involved the exploratory and confirmatory analysis of factorial validity of the SIS-C questionnaire in a sample from B&H. In response to a shift from a system-focused model to a personcentered model of support, Bossaert et al. (2009) conducted a survey examining the benefits of SIS-A for people with ID. Psychometric properties of the SIS-A, examined on a sample of 1303 people with different ID, and an analysis of the final factor failed to support the initially proposed six-step model within this sample.

Similar conclusions were reached in the current study. Results of the CFA indicated a poor fit of theoretical and empirical models of the SIS-C in a B&H sample, even after modifications were done. However, this does not imply a weak factor structure of the measure. The results of the EFA indicated that the factorial structure does not follow the theoretical seven-factor structure. The measure itself has a satisfactory factor structure, however.

Child participants in the original SIS-C standardization sample and in the current sample showed large similarities in demographic characteristics, also with respect to gender and age. There was one significant difference in our sample, namely, there were too few participants (2.1%) with profound disability, for they are barely represented in the education system in B&H. These children are mostly at home and are not covered by any kind of support system. Therefore, it is very challenging to represent them in a sample. This could be the reason of the mismatch of the current study’s data with the initially proposed seven-factor model.

Hagiwara et al. (2019) indicated that whenever a pair of respondents included a teacher or assistant, the support needs were scored lower than when the pair included a family member. In our research, the respondents were direct-care professionals and teachers or staff directly involved in supporting the child, which could also be considered a limitation of this study, deserving attention in replications.

Guillén Martín et al. (2017) performed a comparative analysis of the psychometric properties of the Spanish and Catalan versions of the SIS-C. Their results showed that both versions of the measure have sufficient internal consistency as measured via Cronbach’s αand a previous CFA performed with the SIS-A. Also, they detected several common patterns in both versions. In terms of internal consistency, both scales had a higher Cronbach’s αon advocacy and community and neighborhood, and showed higher correlations in home life and lower in school learning.

The results obtained in our research are in accordance with results of previous studies conducted in this field, which speaks for the suitability of the SIS-C in assessing children with ID/DD. Verdugo et al. (2016) showed CFA results for a Spanish version of the SIS-C indicating that a unidimensional model was not sufficient to explain their data structure. Shogren et al. (2017) compared the reliability, validity, and measurement properties of the SIS-C in children with autism and ID and children with ID only. Their results suggest that the SIS-C is a reliable and valid a tool for both those groups. The results of multigroup CFAs showed that children with autism and ID tended to have a higher intensity of support needs in social activities across age, and children with ID only tended to have stronger correlations among support need domains measured on the SIS-C. The SIS-C is an innovative, international resource for evaluating the support needs of children and adolescents with ID from the socioecological perspective (Guillén Martín, Adam Alcocer, Verdugo Alonso & Giné Giné, 2017)).

Research emphasizes the importance of assessment results for developing and validating meaningful ways of translating the information gained from support needs assessment to systems of support (Shogren et al., 2015). This information also plays a significant role in the development and implementation of individualized plans (Guillén Martín et al., 2017).

An analysis of the SIS-C B&H’s factor structure indicated that it does not follow the theoretical structure. Nevertheless, the high percentage of total variance confirms the satisfactory factor structure of the measure itself. The CFA indicated a poor fit of both the theoretical and empirical models. The findings suggest that the SIS-C B&H can be used as a resource for allocation, assessment, and creation of individualized programs of support for children with ID/DD in B&H. However, there is still there is for future research.

Table 2.

Table 2

Factor Pattern Matrix of the Supports Intensity Scale After Direct Oblimin Rotation

Table 3.

Table 3

Factor Structure Matrix of the Supports Intensity Scale After Direct Oblimin Rotation

Figure 2.

Figure 2

Theoretical model. FA = latent factor related to A scale. FB = latent factor related to B scale. FC = latent factor related to C scale. FD = latent factor related to D scale. FE = latent factor related to E scale. FF = latent factor related to F scale. FG = latent factor related to G scale. PPTA = items related to SIS’ A-Type of support subscale. PPTB = items related to SIS’ B-Type of support subscale. PPTC = items related to SIS’ C-Type of support subscale. PPTD = items related to SIS’ D-Type of support subscale. PPTE = items related to SIS’ E-Type of support subscale. PPTF = items related to SIS’ F-Type of support subscale. PPTG = items related to SIS’ G-Type of support subscale. e = error term variance or residual variance of an item (variance non attributable to the factors in the model). Two-ways arrow values = correlation between two factors. One-way arrow values = standardized regression coefficients (dependent variable are arrowed against and values represent how many units a dependent variable changes by one unit change of an independent variable)..

Figure 3.

Figure 3

Theoretical model. FA = latent factor related to A scale. FB = latent factor related to B scale. FC = latent factor related to C scale. FD = latent factor related to D scale. FE = latent factor related to E scale. FF = latent factor related to F scale. FG = latent factor related to G scale. PPTA = items related to SIS’ A-Type of support subscale. PPTB = items related to SIS’ B-Type of support subscale. PPTC = items related to SIS’ C-Type of support subscale. PPTD = items related to SIS’ D-Type of support subscale. PPTE = items related to SIS’ E-Type of support subscale. PPTF = items related to SIS’ F-Type of support subscale. PPTG = items related to SIS’ G-Type of support subscale. e = error term variance or residual variance of an item (variance non attributable to the factors in the model). Two-ways arrow values = correlation between two factors or/and correlation between two error terms. One-way arrow values = standardized regression coefficients (dependent variable are arrowed against and values represent how many units a dependent variable changes by one unit change of an independent variable).

Figure 4.

Figure 4

Empirical model. GF = factor related to the added (combined) C-scale and G-scale. FA = latent factor related to A scale. FB = latent factor related to B scale. FD = latent factor related to D scale. FE = latent factor related to E scale. FF = latent factor related to F scale. PPTA = items related to SIS’ A-Type of support subscale. PPTB = items related to SIS’ B-Type of support subscale. PPTC = items related to SIS’ C-Type of support subscale. PPTD = items related to SIS’ D-Type of support subscale. PPTE = items related to SIS’ E-Type of support subscale. PPTF = items related to SIS’ F-Type of support subscale. PPTG = items related to SIS’ G-Type of support subscale. e = error term varance or residual variance of an item (variance non attributable to the factors in the model). Two-ways arrow values = correlation between two factors. One-way arrow values = standardized regression coefficients (dependent variable are arrowed against and values represent how many units a dependent variable changes by one unit change of an independent variable).

Figure 5.

Figure 5

Empirical model with modifications. GF = factor related to the added (combined) C-scale and G-scale. FA = latent factor related to A scale. FB = latent factor related to B scale. FD = latent factor related to D scale. FE = latent factor related to E scale. FF = latent factor related to F scale. PPTA = items related to SIS’ A-Type of support subscale. PPTB = items related to SIS’ B-Type of support subscale. PPTC = items related to SIS’ C-Type of support subscale. PPTD = tems related to SIS’ D-Type of support subscale. PPTE = items related to SIS’ E-Type of support subscale. PPTF = items related to SIS’ F-Type of support subscale. PPTG = items related to SIS’ G-Type of support subscale. e = error term variance or residual variance of an item (variance not attributable to the factors in the model). Two-ways arrow values = correlation between two factors or/and between two error terms. One-way arrow values = standardized regression coefficients (dependent variable are arrowed against and values represent how many units a dependent variable changes by one unit change of an independent variable).

Table 4.

Table 4

Indices of Fit for the Theoretical and Empirical Models

Acknowledgements

This study was supported in part by a grant from the B and H Federal Ministry of Education and Science, (Grant Award No. 05- 39-2464-1/17). The opinions expressed do not necessarily reflect the position or policy of the B and H Federal Ministry of Education and Science.

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