The purpose of this study was to pilot test the self-awareness intervention (SAI), a new health education/counselling program based on the theories of integration and self-efficacy. These theories posit that individuals who learn to be self-aware develop expertise and confidence in using body cues to live with diabetes. The SAI was designed to increase self-awareness of salient body cues in individuals with type 1 diabetes. The SAI was pilot tested on two groups of type 1 adults using the collaborative alliance teaching method. Three months after the SAI, participants showed increases in integration and self-efficacy, although the changes were not statistically significant. Hemoglobin A[sub 1c], the average blood glucose over the previous six to 10 weeks, did not change. Positive results were found in the learning assessment and program evaluation completed by an external consultant. The SAI represents an innovative theory-based approach to helping adults with type 1 diabetes achieve positive health outcomes. [ABSTRACT FROM AUTHOR]