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This study evaluated goal setting and rewards to increase the daily steps of 5 children. During baseline, participants wore a sealed pedometer. The intervention consisted of goal setting and rewards delivered by parents for meeting daily goals. Participants met their goals on 12%, 35%, 50%, 71%, and 76% of days, and 3 children increased their daily steps. Three children, who received a second intervention consisting of the addition of a daily text or phone call from the researcher to check progress toward the goal, increased their steps further and met their goal on 62%, 100%, and 100% of days. Two children participated in maintenance, and both maintained their increased steps.