The Effect of Health Promotion - Dalihan Na Tolu in The Prevention of Type 2 Diabetes Mellitus at Risk Groups of The Mandailing Tribe in Padangsidimpuan City

The local wisdom of the Batak people, known as Dalihan Na Tolu, should be able to develop its usefulness through the involvement of family members in the prevention of a disease. The consequences of Type 2 Diabetes Mellitus (DM) are very serious for sufferers. This chronic disease can cause various complications in the blood vessels, hypoglycemic conditions, fear of hypoglycemia, and fear of long-term consequences can cause a decrease in the quality of life of sufferers. Data from the Padangsidimpuan City Health Office in 2020 shows that there are 2,076 people with DM in Padangsidimpuan City, with a prevalence rate of 0.94 percent, spread over 10 health centers. The purpose of this study was to prove the effect of Health Promotion - Dalihan Na Tolu in the Prevention of Type 2 Diabetes Mellitus at Risk Groups in the Mandailing Tribe in Padangsidimpuan City. This type of research is an experiment with one group pre-test-post-test design, on 16 samples. Data analysis with paired sample t test. Padangmatinggi Health Center with the highest DM sufferers 428 people. There has never been a cultural approach to DNT before in an effort to prevent the occurrence of type 2 DM at risk groups. Therefore, an approach to social conditions that applies locally is needed, in designing a health promotion model with a DNT cultural approach to prevent the occurrence of DM type 2 at risk groups in the Mandailing Tribe in Padangsidimpuan City. This study aims to design a health promotion model with a DNT approach in preventing Type 2 DM at risk groups in the Mandailing Tribe in Padangsidimpuan City. This research is qualitative research with a participatory action research approach consisting of five stages, namely: information, consultation, joint decision making, acting together and supporting the interests of independent communities. The number of informants is 16 people. The stages of data analysis are: data reduction, data exposure, drawing conclusions and leveraging. The pattern of implementing health promotion in an effort to prevent diabetes mellitus through the Dalihan Na Tolu approach is considered effective using the diffusion of innovation, so that there is a pattern of behavior that changes towards healthy behavior by preventing type 2 diabetes mellitus in risk groups in the Mandailing Tribe in Padangsidimpuan City. The City of Padangsidimpuan to apply the DNT approach with a participatory approach in carrying out efforts to prevent type 2 diabetes mellitus, which is carried out in an integrated and cross-sectoral collaboration with other agencies. Efforts are suggested to invite traditional leaders with Dalihan Na Tolu to be involved in using a cultural approach in health promotion as informants, but also to act as important agents of change to improve the effectiveness and efficiency of the program.