{
  "assessmentTests": {
    "alcohol_use_screener": {
      "name": "Tathmini ya Tabia za Kunywa",
      "desc": "Maswali 20 ya kujitafakari katika maeneo manne: udhibiti duni, athari za kijamii na jukumu, matumizi yenye hatari, na uvumilivu na dalili za kuacha kunywa.",
      "recommendation": "Wasifu wako wa tabia za kunywa",
      "questions": [
        {
          "question": "Mwishoni mwa siku, hunywa zaidi, au kwa muda mrefu, kuliko nilivyokusudia hapo awali.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimejaribu kupunguza kunywa kwangu na niligundua kuwa ni ngumi kuliko nilivyotaka.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Sehemu kubwa ya wakati wangu inaenda katika kupata pombe, kunywa, au kurejea kutokana na athari zake.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Ninapata hamu kali au tamaa ya kunywa ambayo ni ngumi sana kuipuuza.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Mara tu ninapoanza kunywa, ni ngumi kusimama kabla ya kiasi nilichokusudia hapo awali.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Kunywa kwangu kumesababisha nikahangaike katika majukumu ya kazi, shule, au nyumbani.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeendelea kunywa hata ingawa ilikuwa inasababisha matatizo makubwa na watu karibu nami.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeacha au kupunguza michezo na shughuli ambazo nilikuwa nikizifurahia kwa sababu ya kunywa.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Mtu karibu nami ameonyesha wasiwasi halisi kuhusu kiasi cha kunywa kwangu.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimekosa, au nikakuja kuchelewa, kwa kitu muhimu kwa sababu ya kunywa au athari zake.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeendesha gari, kuendesha mashine, au kufanya kitu kingine kilicho na hatari baada ya kunywa.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeendelea kunywa hata ingawa najua kuwa inafanya tatizo la kimwili au kihemko kuwa mbaya zaidi.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimetengeneza kitu wakati wa kunywa ambacho nilijuta, au kitu ambacho sikufanya kwa kawaida bila kunywa.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimekunywa katika hali ambapo ilikuwa wazi kuwa haikuwa salama kufanya hivyo.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeendelea kunywa licha ya daktari, au mtu mwingine, kunionyesha kuhusu athari za afya.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Ninahitaji pombe zaidi sana kuliko nilivyohitaji hapo awali ili kuhisi athari zake.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Kiasi sawa cha pombe kina athari ndogo sana kwangu kuliko ilivyokuwa wakati ninapoanza kunywa kwa kawaida.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeona mtetemo, jasho, kichefuchefu, au wasiwasi baada ya kupunguza au kusimama kunywa.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimekunywa mapema asubuhi, au haraka baada ya kuamka, ili kutulia neva au kuepuka kuhisi vibaya.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        },
        {
          "question": "Nimeona matatizo ya usingizi, kutokuwa na pumziko, au kasirika wakati siwezi kunywa kwa muda.",
          "options": [
            { "icon": "🚫", "label": "Kamwe", "desc": "Sio kitu ninachokikabili" },
            { "icon": "🤔", "label": "Wakati mwingine", "desc": "Hutokea mara chache" },
            { "icon": "📍", "label": "Mara nyingi", "desc": "Hutokea kila wakati" },
            { "icon": "🔴", "label": "Karibu kila wakati", "desc": "Changamoto ya kila siku kwangu" }
          ]
        }
      ],
      "dimensions": {
        "impaired_control": {
          "name": "Udhibiti Duni",
          "desc": "Jinsi kunywa kwako halisi, kiasi, muda, au uwezo wa kusimama, unavyozidi kile ulichokusudia hapo awali.",
          "high": "Mara nyingi hunywa zaidi au kwa muda mrefu kuliko ulivyopanga, na kupunguza kumekuwa ngumi zaidi wakati umejaribu.",
          "low": "Kunywa kwako kwa kawaida kunabaki ndani ya kile ulichopanga, na kusimama wakati unaokusudia si changamoto kubwa.",
          "icon": "🎯",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "social_impairment": {
          "name": "Athari za Kijamii na Jukumu",
          "desc": "Jinsi kunywa kumesababisha matatizo katika majukumu yako, mahusiano, au shughuli ambazo nilikuwa nikizitumia wakati.",
          "high": "Kunywa inaonekana inasababisha msuguano halisi na watu, majukumu, au shughuli ambazo ni muhimu kwako.",
          "low": "Kunywa inaonekana hakuna kuzuia majukumu yako, mahusiano, au vitu unavyofurahia kufanya.",
          "icon": "👥",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "risky_use": {
          "name": "Matumizi yenye Hatari",
          "desc": "Kama umeendelea kunywa, au kuendelea kutumia pombe katika hali zisizo salama, licha ya hatari halisi inayojulikana.",
          "high": "Umeendelea kunywa katika hali, au licha ya matatizo, ambapo hatari ilikuwa wazi wakati huo.",
          "low": "Hujanywa katika hali ambazo zilikuwa na hatari halisi ya kimwili au usalama.",
          "icon": "⚠️",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "tolerance_withdrawal": {
          "name": "Uvumilivu na Dalili za Kuacha Kunywa",
          "desc": "Kama mwili wako umebadilika kuhitaji pombe zaidi kwa athari sawa, au inareakti kimwili wakati unasimama.",
          "high": "Majibu yako yanaonyesha kwamba mwili wako unaweza kuwa umebadilika kulingana na matumizi ya kawaida ya pombe, kwa njia zinazoonekana kama uvumilivu au dalili za kuacha kunywa.",
          "low": "Haujagundua haja ya kunywa pombe zaidi kwa muda, au dalili za kimwili wakati unaacha kunywa.",
          "icon": "🌀",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        }
      },
      "results": {
        "minimal": {
          "name": "Wasiwasi Mdogo wa Kunywa",
          "desc": "Majibu yako hayaonyeshi muundo wa udhibiti duni, athari za kijamii, matumizi yenye hatari, au uvumilivu/dalili za kuacha kunywa pombe. Unaweza kunywa mara kwa mara au si kabisa, na haionyeshi kuwa inabadilisha maamuzi yako, mahusiano, au afya kwa njia inayoonekana.",
          "recommendation": "Hakuna kitu hapa kinachoonya wasiwasi sasa. Ikiwa mifumo yako ya kunywa au hali yako itabadilika, vikoa vinne hapo juu ni njia nzuri ya kujiangalia tena."
        },
        "mild": {
          "name": "Wasiwasi Kidogo wa Kunywa",
          "desc": "Mifumo michache inaonekana, kunywa zaidi kuliko ulipokusudia, au kuona kuwa inathiri mpango au mahusiano mara kwa mara, lakini picha ya jumla bado iko ndani ya kiwango. Hii ni hatua ya kawaida na inayoweza kusonga mbele.",
          "recommendation": "Hii ni wakati mzuri wa kujikagua kwa uaminifu, kufuatilia kiasi na mara ngapi unanywa kwa kweli dhidi ya kile ulichokusudia. Watu wengi wanagundua kuwa kuweka mipaka wazi mapema (kabla ya pombe ya kwanza) inafanya tofauti kubwa katika hatua hii."
        },
        "moderate": {
          "name": "Wasiwasi wa Kawaida wa Kunywa",
          "desc": "Majibu yako yanaonyesha muundo uliokua, udhibiti duni, athari halisi kwa majukumu au mahusiano, au dalili za mapema za uvumilivu. Hii ni muundo unaotambuliwa unaostahili kuchukuliwa kwa serifu, si suala la nguvu ya nia.",
          "recommendation": "Fikiria kuongea na daktari au mshauri aliyeidhinishwa anayefanya kazi na matumizi ya pombe, wanaweza kukusaidia kuelewa muundo wako mahususi na chaguo bila hukumu. Jamii za msaada kama Alcoholics Anonymous (AA) au SMART Recovery ni bure, zinapatikana sana, na watu wengi wanagundua kuwa na msaada katika hatua hii pia."
        },
        "high": {
          "name": "Wasiwasi Makubwa wa Kunywa",
          "desc": "Majibu yako yanaonyesha muundo mkubwa katika udhibiti duni, athari za kijamii na jukumu, matumizi yenye hatari, na uvumilivu au dalili za kuacha kunywa. Kiwango hiki cha muundo kinafanana na kile wanatambuliwa na wataalamu kama wasiwasi muhimu wa matumizi ya pombe, na inaistahili msaada halisi, si nguvu ya nia tu.",
          "recommendation": "Tafadhali wasiliana na daktari kabla ya kufanya mabadiliko yoyote ghafla kwa kunywa kwako. Ikiwa mwili wako umebadilika kulingana na matumizi ya kawaida ya pombe, kuacha ghafla kunaweza kuwa na hatari ya kimatibabu (ikiwa ni pamoja na dalili za kuacha kunywa ambazo wakati mwingine zinahitaji usimamizi), kwa hivyo daktari anaweza kukusaidia kufanya hii kwa usalama. SAMHSA National Helpline (1-800-662-4357, bure, siri, 24/7) ni mahali pazuri pa kuanza, na Alcoholics Anonymous (AA) au SMART Recovery inatoa msaada wa bure unaoendelea. Unastahili msaada halisi, na kuwasiliana ni hatua kali ya kwanza, si ya mwisho."
        }
      }
    }
  },
  "testNames": {
    "alcohol-use-screener": "Ukaguzi wa Tabia za Unywaji"
  }
}