Trauma Ward Mental Health Interpreters' Remote Video Relay Latency and Post-Traumatic Stress Symptom Disclosure Accuracy Among Congolese Survivors in Ugandan Referral Hospitals: A Multilevel Analysis of Interpretation Modality

Remote video relay interpretation is increasingly used in trauma wards serving Congolese survivors in Ugandan referral hospitals, yet the effect of relay latency on the accuracy of post-traumatic stress symptom disclosure remains unexamined. The framework treats disclosure accuracy as a multilevel construct nested within interpreter, encounter, and patient levels, and proposes that video relay latency operates as a cross-level moderator of the association between symptom severity and disclosure completeness. The analysis synthesises scholarship on interpreter-mediated trauma care, remote interpretation technology, and cross-cultural PTSD assessment to derive testable propositions. The contribution is a mechanism-based specification of how latency thresholds in video relay interpretation may systematically distort symptom disclosure among a population whose trauma narratives are already shaped by linguistic and cultural difference. The framework implies that interpretation modality should be treated as a measurable exposure rather than a background feature of trauma ward practice, and that latency thresholds warrant empirical estimation in referral hospital settings.