1) My research is 1st generation, because I am documenting for the first time disparities in women experiencing preference-concordant decision making for prenatal testing. In the future, it could like to 3rd generation or 4th generation research by moving beyond mere documentation and perhaps trying different interventions to decrease disparities for women of limited english proficiency. For example a more robust study that focused on assessing communication among physicians that are self-reported proficient in spanish vs using an interpreter.
2) I think understanding genetic testing and interpreting results is a very difficult concept for many women of all education levels and there are challenges to fully understanding within the context of a 15minute visit. One way to bridge levels of the socioecological model is having community workers identify reproductive age women, especially in low income and immigrant neighborhoods, who are interested in having children and doing an education campaign on basic concepts related to prenatal genetic testing.