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Efrat Neter

Ruppin Academic Center, Behavrioal Sciences, Faculty Member

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I am a behavioral scientist. My research aims at testing theories of behavior change and conducting interventions to change health-related behaviors. I teach and conduct research at Ruppin Academic Center, Israel. I currently head the Teaching Committee of the college.

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Papers by Efrat Neter

Personalized Intervention to Improve Medication Adherence for Persons with Multiple Sclerosis

Patient preference and adherence, Jun 1, 2024

Using an Intervention Mapping Approach to Improve Adherence to Disease-Modifying Treatment in Multiple Sclerosis

International journal of MS care, May 23, 2023

Compensatory Health Beliefs on Breastfeeding Varying by Breastfeeding Status; A Scale Development

International Journal of Environmental Research and Public Health, Aug 9, 2020

Stresses of COVID-19 and Expectations for the Future Among Women: A Cross Cultural Analysis According to the Femininity/Masculinity Dimension

Cross-Cultural Research, Jan 6, 2023

Adapting and testing a tool to map digital health resources use by older adults in Israel and Taiwan

European journal of public health, Oct 1, 2022

Personal Health Perceptions as Predictors to Medication Adherence in a Prospective Cohort Study Among Patients with Multiple Sclerosis

Research Square (Research Square), Jul 30, 2020

A spotlight on a National Delegate - Jasminka Despot Lucanin doing humanitarian work

The European health psychologist, Dec 1, 2013

Dr. Kristine Martinsone – an Academic Pioneer: The story of Health Psychology in Latvia is the story of Kristine Martinsone

The European health psychologist, 2015

Beliefs about medication as predictors of medication adherence in a prospective cohort study among persons with multiple sclerosis

BMC Neurology, Mar 25, 2021

The effect of motivation of judgment depends on the difficulty of the judgment

Journal of Personality and Social Psychology, Apr 1, 1995

Immigrant generation, acculturation, and mental health literacy among former Soviet Union immigrants in Israel

International Journal of Social Psychiatry

Background: Research on Mental Health Literacy (MHL) has been growing in different geographical a... more Background: Research on Mental Health Literacy (MHL) has been growing in different geographical and cultural contexts. However, little is known about the relationship between immigrant generations, acculturation, stigma, and MHL among immigrant populations. Aims: This study aims to examine differences in MHL among immigrant generations (first, 1.5, and second) from the former Soviet Union (FSU) in Israel and to assess whether differences are accounted for by immigration generation or acculturation. Method: MHL was assessed among 420 participants using a cross-sectional survey adapted from the Australian National Survey. Associations of immigrant generation, socio-demographic characteristics, and acculturation with MHL indices were examined using bivariate and multivariable analyses. Results: First generation immigrants reported poorer identification of mental disorders and higher personal stigma than both 1.5- and second-generation immigrants. Acculturation was positively associated...

Ethnic Differences in Attitudes and Preventive Behaviors Related to Alzheimer’s Disease in the Israeli Survey of Aging

International Journal of Environmental Research and Public Health, Aug 6, 2022

Involuntary psychiatric hospitalizations in Israel 2001–2018 and risk for immigrants from different countries

Psychiatry Research

Since 2000, the Israeli mental health system has undergone a reduction in hospital beds, initiati... more Since 2000, the Israeli mental health system has undergone a reduction in hospital beds, initiation of community-based rehabilitation, and transfer of governmental services to health maintenance organizations. This study examined trends, predictors and outcomes of involuntary psychiatric hospitalizations (IPH), in particular for immigrants. All first psychiatric hospitalizations of adults, 2001-2018, in the National Psychiatric Case Registry were used. Involuntary and voluntary hospitalizations were analyzed by demographic and clinical characteristics, and age-adjusted rates calculated over time. Multivariate logistic regression models were used to investigate IPH predictors and first IPH as a risk factor for one-year suicide after last discharge, and a Cox multivariate regression model to examine its risk for all-cause mortality. Among 73,904 persons in the study, age-adjusted rates of IPH were higher between 2011 and 2015 and then decreased slightly until 2018. Ethiopian immigrants had the highest risk for IPH, immigrants from the former Soviet Union a lower risk, and that of Arabs was not significantly different, from non-immigrant Jews. IPH was not significantly associated with one-year suicide or all-cause mortality. These findings demonstrate the vulnerability of Ethiopian immigrants, typical of disadvantaged immigrants having a cultural gap with the host country and highlight the importance of expanding community mental health services.

Using implementation intention intervention to decrease in-class sedentary behavior among students

The European health psychologist, 2015

Background: Sedentary behavior is a major risk factor for chronic illnesses, and college students... more Background: Sedentary behavior is a major risk factor for chronic illnesses, and college students, despite their young age, are a risk group, due to long sitting hours in lectures. The objectives of the study were to examine an implementation intentions (II) intervention focused on mild sedentary-opposing behavior during and between classes on regular academic days. Hypotheses were that the experimental II group will exhibit more sedentary-opposing activities than the control group. Methods: 80 participants were randomly assigned to experimental and control conditions. Both groups were exposed to information on sedentary behavior and the experimental group was induced to form plans for sedentary-opposing behaviors in and between classes. Both groups received daily text reminders during their school days, with each person in the experimental group receiving his/her preferred plan for sedentary-opposing activity. Two weeks following the initial intervention, participants will again re...

Adjustment in fertility treatments: the role of infertility centrality in women’s identity and goal adjustment

The European health psychologist, 2016

Background: Some of the women that go through repeated infertility treatments do not adjust well ... more Background: Some of the women that go through repeated infertility treatments do not adjust well to the treatments and experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and goal adjustment (disengagement and re-engagement) are associated with the woman’s psychological adjustment. Methods: 193 women in ongoing fertility treatments filled out questionnaires, and were follow up on their psychological wellbeing three months later (N=130). Results: Women who perceived their fertility problem as more central to their identity experienced greater distress (β=0.34, p<0.01) and less well-being (β=-0.31, p<0.01). Concurrently, high ability for goal disengagement was a resource that protected women from these feelings. Women with the ability of goal disengagement who did not also show an ability of goal re-engagement (β of interaction=-0.23, p<0.01) experienced greater distress, probably because they remained with...

Choice and control over my body and health? Women's reproductive health in socio-cultural context

The European health psychologist, 2016

Aim: This symposium aims to promote research on women’s unique health psychology issues. We will ... more Aim: This symposium aims to promote research on women’s unique health psychology issues. We will present a variety of pregnancy and birth-related matters women deal with, highlight the social paradigms that affect them and stress the importance of identifying populations at risk of health disparities. Rationale: Reproductive health matters concern women across the globe, though often choices on these issues are limited. Women’s subjective experience of these matters, their perceptions, ways of coping and decision-making processes, could affect their physical and emotional health in the short and long term. Therefore, it is imperative to study and share knowledge on these subjects. In addition, not all women are alike and it is important to recognize how reproductive issues play-out among women in different life circumstances. Summary: Issues of conception, pregnancy termination and childbirth are experienced very differently by women from diverse social groups and under changing cir...

“What I thought was so important isn’t really that important”: international perspectives on making meaning during the first wave of the COVID-19 pandemic

Health Psychology and Behavioral Medicine, 2021

My Child Doesn't Need to be Vaccinated Because We Lead a Healthy Lifestyle: Compensatory Health Beliefs Predicting Intentions and Reported Child Vaccination

Archives of Community Medicine and Public Health, 2015

Refined Analysis of Older eHealth Users From an Agency Perspective: Quantitative Telephone Interview Study (Preprint)

Refined Analysis of Older eHealth Users From an Agency Perspective: Quantitative Telephone Interview Study, 2023

BACKGROUND Most studies on the eHealth divide among older people have compared users to nonusers ... more BACKGROUND Most studies on the eHealth divide among older people have compared users to nonusers and found that age, gender, and education were associated with eHealth misuse. They assumed that these characteristics were structural barriers to eHealth adoption. Furthermore, eHealth practices have been examined in a narrow and incomplete way, and the studies disagree about the association between health conditions and eHealth use. Using a more dynamic theoretical lens, we investigated the potential motivations driving older adults’ agential adoption of eHealth practices despite their advanced age. OBJECTIVE This study aimed to obtain a complete and detailed description of eHealth uses among older adults; examine whether demographic characteristics such as age, gender, and education (previously related to eHealth misuse) are still associated with the various eHealth clusters; and determine whether contextual factors such as changes in the health condition of older eHealth users or the...

Cultural intelligence and social distance among undergraduate students in clinical professions

Group Processes & Intergroup Relations, Dec 10, 2020

Cultural competence, an individual's ability to function effectively in culturally diverse settin... more Cultural competence, an individual's ability to function effectively in culturally diverse settings, has become an important area of study in the social sciences. Labelled "cultural intelligence" in management (Ang et al., 2007; Earley, 2002), and referred to as CQ because it is conceptualized as a facet of intelligence, it has gained considerable attention as a means of explaining managers' performance in a global business environment. However, CQ has rarely been examined in the broader context of intergroup relations and in intergroup situations that limit

Personalized Intervention to Improve Medication Adherence for Persons with Multiple Sclerosis

Patient preference and adherence, Jun 1, 2024

Using an Intervention Mapping Approach to Improve Adherence to Disease-Modifying Treatment in Multiple Sclerosis

International journal of MS care, May 23, 2023

Compensatory Health Beliefs on Breastfeeding Varying by Breastfeeding Status; A Scale Development

International Journal of Environmental Research and Public Health, Aug 9, 2020

Stresses of COVID-19 and Expectations for the Future Among Women: A Cross Cultural Analysis According to the Femininity/Masculinity Dimension

Cross-Cultural Research, Jan 6, 2023

Adapting and testing a tool to map digital health resources use by older adults in Israel and Taiwan

European journal of public health, Oct 1, 2022

Personal Health Perceptions as Predictors to Medication Adherence in a Prospective Cohort Study Among Patients with Multiple Sclerosis

Research Square (Research Square), Jul 30, 2020

A spotlight on a National Delegate - Jasminka Despot Lucanin doing humanitarian work

The European health psychologist, Dec 1, 2013

Dr. Kristine Martinsone – an Academic Pioneer: The story of Health Psychology in Latvia is the story of Kristine Martinsone

The European health psychologist, 2015

Beliefs about medication as predictors of medication adherence in a prospective cohort study among persons with multiple sclerosis

BMC Neurology, Mar 25, 2021

The effect of motivation of judgment depends on the difficulty of the judgment

Journal of Personality and Social Psychology, Apr 1, 1995

Immigrant generation, acculturation, and mental health literacy among former Soviet Union immigrants in Israel

International Journal of Social Psychiatry

Background: Research on Mental Health Literacy (MHL) has been growing in different geographical a... more Background: Research on Mental Health Literacy (MHL) has been growing in different geographical and cultural contexts. However, little is known about the relationship between immigrant generations, acculturation, stigma, and MHL among immigrant populations. Aims: This study aims to examine differences in MHL among immigrant generations (first, 1.5, and second) from the former Soviet Union (FSU) in Israel and to assess whether differences are accounted for by immigration generation or acculturation. Method: MHL was assessed among 420 participants using a cross-sectional survey adapted from the Australian National Survey. Associations of immigrant generation, socio-demographic characteristics, and acculturation with MHL indices were examined using bivariate and multivariable analyses. Results: First generation immigrants reported poorer identification of mental disorders and higher personal stigma than both 1.5- and second-generation immigrants. Acculturation was positively associated...

Ethnic Differences in Attitudes and Preventive Behaviors Related to Alzheimer’s Disease in the Israeli Survey of Aging

International Journal of Environmental Research and Public Health, Aug 6, 2022

Involuntary psychiatric hospitalizations in Israel 2001–2018 and risk for immigrants from different countries

Psychiatry Research

Since 2000, the Israeli mental health system has undergone a reduction in hospital beds, initiati... more Since 2000, the Israeli mental health system has undergone a reduction in hospital beds, initiation of community-based rehabilitation, and transfer of governmental services to health maintenance organizations. This study examined trends, predictors and outcomes of involuntary psychiatric hospitalizations (IPH), in particular for immigrants. All first psychiatric hospitalizations of adults, 2001-2018, in the National Psychiatric Case Registry were used. Involuntary and voluntary hospitalizations were analyzed by demographic and clinical characteristics, and age-adjusted rates calculated over time. Multivariate logistic regression models were used to investigate IPH predictors and first IPH as a risk factor for one-year suicide after last discharge, and a Cox multivariate regression model to examine its risk for all-cause mortality. Among 73,904 persons in the study, age-adjusted rates of IPH were higher between 2011 and 2015 and then decreased slightly until 2018. Ethiopian immigrants had the highest risk for IPH, immigrants from the former Soviet Union a lower risk, and that of Arabs was not significantly different, from non-immigrant Jews. IPH was not significantly associated with one-year suicide or all-cause mortality. These findings demonstrate the vulnerability of Ethiopian immigrants, typical of disadvantaged immigrants having a cultural gap with the host country and highlight the importance of expanding community mental health services.

Using implementation intention intervention to decrease in-class sedentary behavior among students

The European health psychologist, 2015

Background: Sedentary behavior is a major risk factor for chronic illnesses, and college students... more Background: Sedentary behavior is a major risk factor for chronic illnesses, and college students, despite their young age, are a risk group, due to long sitting hours in lectures. The objectives of the study were to examine an implementation intentions (II) intervention focused on mild sedentary-opposing behavior during and between classes on regular academic days. Hypotheses were that the experimental II group will exhibit more sedentary-opposing activities than the control group. Methods: 80 participants were randomly assigned to experimental and control conditions. Both groups were exposed to information on sedentary behavior and the experimental group was induced to form plans for sedentary-opposing behaviors in and between classes. Both groups received daily text reminders during their school days, with each person in the experimental group receiving his/her preferred plan for sedentary-opposing activity. Two weeks following the initial intervention, participants will again re...

Adjustment in fertility treatments: the role of infertility centrality in women’s identity and goal adjustment

The European health psychologist, 2016

Background: Some of the women that go through repeated infertility treatments do not adjust well ... more Background: Some of the women that go through repeated infertility treatments do not adjust well to the treatments and experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and goal adjustment (disengagement and re-engagement) are associated with the woman’s psychological adjustment. Methods: 193 women in ongoing fertility treatments filled out questionnaires, and were follow up on their psychological wellbeing three months later (N=130). Results: Women who perceived their fertility problem as more central to their identity experienced greater distress (β=0.34, p<0.01) and less well-being (β=-0.31, p<0.01). Concurrently, high ability for goal disengagement was a resource that protected women from these feelings. Women with the ability of goal disengagement who did not also show an ability of goal re-engagement (β of interaction=-0.23, p<0.01) experienced greater distress, probably because they remained with...

Choice and control over my body and health? Women's reproductive health in socio-cultural context

The European health psychologist, 2016

Aim: This symposium aims to promote research on women’s unique health psychology issues. We will ... more Aim: This symposium aims to promote research on women’s unique health psychology issues. We will present a variety of pregnancy and birth-related matters women deal with, highlight the social paradigms that affect them and stress the importance of identifying populations at risk of health disparities. Rationale: Reproductive health matters concern women across the globe, though often choices on these issues are limited. Women’s subjective experience of these matters, their perceptions, ways of coping and decision-making processes, could affect their physical and emotional health in the short and long term. Therefore, it is imperative to study and share knowledge on these subjects. In addition, not all women are alike and it is important to recognize how reproductive issues play-out among women in different life circumstances. Summary: Issues of conception, pregnancy termination and childbirth are experienced very differently by women from diverse social groups and under changing cir...

“What I thought was so important isn’t really that important”: international perspectives on making meaning during the first wave of the COVID-19 pandemic

Health Psychology and Behavioral Medicine, 2021

My Child Doesn't Need to be Vaccinated Because We Lead a Healthy Lifestyle: Compensatory Health Beliefs Predicting Intentions and Reported Child Vaccination

Archives of Community Medicine and Public Health, 2015

Refined Analysis of Older eHealth Users From an Agency Perspective: Quantitative Telephone Interview Study (Preprint)

Refined Analysis of Older eHealth Users From an Agency Perspective: Quantitative Telephone Interview Study, 2023

BACKGROUND Most studies on the eHealth divide among older people have compared users to nonusers ... more BACKGROUND Most studies on the eHealth divide among older people have compared users to nonusers and found that age, gender, and education were associated with eHealth misuse. They assumed that these characteristics were structural barriers to eHealth adoption. Furthermore, eHealth practices have been examined in a narrow and incomplete way, and the studies disagree about the association between health conditions and eHealth use. Using a more dynamic theoretical lens, we investigated the potential motivations driving older adults’ agential adoption of eHealth practices despite their advanced age. OBJECTIVE This study aimed to obtain a complete and detailed description of eHealth uses among older adults; examine whether demographic characteristics such as age, gender, and education (previously related to eHealth misuse) are still associated with the various eHealth clusters; and determine whether contextual factors such as changes in the health condition of older eHealth users or the...

Cultural intelligence and social distance among undergraduate students in clinical professions

Group Processes & Intergroup Relations, Dec 10, 2020

Cultural competence, an individual's ability to function effectively in culturally diverse settin... more Cultural competence, an individual's ability to function effectively in culturally diverse settings, has become an important area of study in the social sciences. Labelled "cultural intelligence" in management (Ang et al., 2007; Earley, 2002), and referred to as CQ because it is conceptualized as a facet of intelligence, it has gained considerable attention as a means of explaining managers' performance in a global business environment. However, CQ has rarely been examined in the broader context of intergroup relations and in intergroup situations that limit