Success in algebra is considered to be the "gatekeeper" to postsecondary education and essential for many careers (National Mathematics Advisory Panel [NMAP], 2008). Mastering critical algebraic concepts, such as proportional reasoning and fractions, facilitates the learning of more advanced mathematical ideas. Many postsecondary degree programs require mastery of algebra content (Ketterlin-Geller & Chard, 2011).In recent years, nearly all states have established more rigorous mathematics requirements, including successful completion of Algebra 1, for high school graduation (American Diploma Project, 2004). Notably, students must learn mathematical topics, including fractions, prior to algebra instruction to be able to tackle the rigorous demands associated with this content area.Unfortunately, the National Assessment of Educational Progress (National Center for Education Statistics, 2013) indicated that about half of students in 8th and 12th grade lack the conceptual understanding and procedural knowledge that is critical for competence with fractions. Among fourth graders with and without disabilities, only about 31% could predict the first fraction in a pattern that was greater than 1, and only about 35% could solve a problem using operations with fractions. Among eighth graders, about 41% could solve a multistep problem involving fractions (National Center for Education Statistics, 2013). By comparison, according to the 2011 Trends in International Mathematics and Science Study, both fourth and eighth graders in East Asia countries outperformed those in the United States on mathematical reasoning, including fractions understanding and knowledge (Mullis, Martin, Foy, & Arora, 2012). Thus, for U.S. students, performance outcomes for fractions, including for students with academic difficulties, are alarming, given the importance of competence with fractions as part of the learning progression for algebra.As one of the critical foundations of algebra, conceptual understanding of fractions is considered an essential building block for successfully advancing in elementary and secondary mathematics. Conceptual understanding is defined as "implicit or explicit understanding of the principles that govern a domain and of the interrelations between units of knowledge in a domain" (pp. 346-347), whereas procedural understanding refers to "the ability to execute action sequences to solve problems" (Rittle-Johnson, Siegler, & Alibali, 2001, p. 346).