<![CDATA[Adolescents with Special Needs often face barriers to sexual and reproductive health (SRH) information, and parents are key sources of guidance. This study evaluated the effect of audio-visual SRH education on parental knowledge in a special needs school setting. A pre-experimental one-group pretest-posttest study was conducted at a Sekolah Luar Biasa (SLB) or special needs school in rural area Indonesia (January-July 2023). Fifty parents were recruited by purposive sampling from a population of 96. Knowledge was measured using a structured questionnaire before and after an audio-visual education session. Differences in scores were tested using the Wilcoxon signed-rank test (alpha= 0.05). Most parents (68.0%) had previously received SRH information. Mean knowledge increased from 13.38 ± 3.016 at pretest to 19.52 ± 2.53 at posttest. The Wilcoxon signed-rank test showed a significant improvement (Z = -6.10, p < 0.001), with 49 participants improving and one unchanged (effect size r=0.86). Audio-visual education was associated with a significant improvement in parental SRH knowledge. Integrating multimedia-based education into school-parent collaboration may strengthen SRH support for adolescents with special needs.]]>
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