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In Grade 4, students must solve word problems with multiple steps to demonstrate mathematics competency, yet many students are inadequately prepared. We implemented a randomized controlled trial to examine the impact of using one equation or multiple equations to solve word problems for fourth graders experiencing mathematics difficulty (MD). Eligible students (n = 259) received word-problem intervention with a single equation (n = 91), multiple equations (n = 88), or were assigned to the control group (n = 80). The 13-week intervention included 39 individual lessons, implemented 3 times per week, for 35 min. Results showed both intervention conditions demonstrated improved word-problem performance over the control group (ES = 1.00; ES = 0.82). We share essential components of both conditions.