<![CDATA[Adolescent reproductive risk behaviors, including smoking and overt romantic involvement in school settings, may reflect limited self-control and decision-making capacity and may increase vulnerability to unintended pregnancy. Although reproductive health education is widely implemented, evidence comparing educational media for strengthening adolescents’ self-efficacy in pregnancy planning remains limited. This study aimed to compare the effectiveness of video-based and leaflet-based reproductive health education in improving adolescents’ self-efficacy for pregnancy planning. A quasi-experimental pretest–posttest two-group design was conducted among 46 female students at SMK PGRI 1 Magetan, East Java, Indonesia. Participants were randomly allocated to a video group (n=23) or a leaflet group (n=23). Both groups received standardized reproductive health education covering pregnancy planning, optimal reproductive age, pregnancy risks, physical, psychological, and social readiness, and reproductive decision-making. Self-efficacy was assessed using a 15-item, five-point Likert questionnaire based on the self-efficacy framework. Within-group changes were evaluated using the Wilcoxon Signed-Rank Test, while between-group differences were assessed using the Mann–Whitney U test. Self-efficacy increased significantly in both groups (p<0.01). The mean score in the video group increased from 35.00 to 53.35, representing a 52.42% increase, whereas the leaflet group increased from 34.87 to 43.52, representing a 24.81% increase. Baseline self-efficacy did not differ significantly between groups (p=0.690), while post-intervention scores differed significantly (p<0.01). Video-based education therefore produced a greater immediate improvement in adolescent self-efficacy for pregnancy planning than leaflet-based education. These findings support the use of audiovisual media as a potentially more engaging strategy for school-based reproductive health education, while larger studies with longer follow-up are needed to determine whether the observed gains are sustained and translate into behavioral outcomes.]]>
