<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">
    ce
   </journal-id>
   <journal-title-group>
    <journal-title>
     Creative Education
    </journal-title>
   </journal-title-group>
   <issn pub-type="epub">
    2151-4755
   </issn>
   <issn publication-format="print">
    2151-4771
   </issn>
   <publisher>
    <publisher-name>
     Scientific Research Publishing
    </publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">
    10.4236/ce.2024.157077
   </article-id>
   <article-id pub-id-type="publisher-id">
    ce-134459
   </article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>
      Articles
     </subject>
    </subj-group>
    <subj-group subj-group-type="Discipline-v2">
     <subject>
      Social Sciences 
     </subject>
     <subject>
       Humanities
     </subject>
    </subj-group>
   </article-categories>
   <title-group>
    Learning Process of Developing Subitising, Counting, and Reasoning Skills among Jamaican Preschool Children
   </title-group>
   <contrib-group>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Nagisa
      </surname>
      <given-names>
       Nakawa
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Yutaro
      </surname>
      <given-names>
       Furuta
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
   </contrib-group> 
   <aff id="aff1">
    <addr-line>
     aCollege of Architecture and Environmental Design, Kanto Gakuin University, Yokohama, Japan
    </addr-line> 
   </aff> 
   <aff id="aff2">
    <addr-line>
     aSTEM UP Education, Portland, Jamaica
    </addr-line> 
   </aff> 
   <pub-date pub-type="epub">
    <day>
     05
    </day> 
    <month>
     07
    </month>
    <year>
     2024
    </year>
   </pub-date> 
   <volume>
    15
   </volume> 
   <issue>
    07
   </issue>
   <fpage>
    1269
   </fpage>
   <lpage>
    1296
   </lpage>
   <history>
    <date date-type="received">
     <day>
      16,
     </day>
     <month>
      April
     </month>
     <year>
      2024
     </year>
    </date>
    <date date-type="published">
     <day>
      8,
     </day>
     <month>
      April
     </month>
     <year>
      2024
     </year> 
    </date> 
    <date date-type="accepted">
     <day>
      8,
     </day>
     <month>
      July
     </month>
     <year>
      2024
     </year> 
    </date>
   </history>
   <permissions>
    <copyright-statement>
     © Copyright 2014 by authors and Scientific Research Publishing Inc. 
    </copyright-statement>
    <copyright-year>
     2014
    </copyright-year>
    <license>
     <license-p>
      This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
     </license-p>
    </license>
   </permissions>
   <abstract>
    This study investigated the developmental aspects of subitising, verbal and object counting, and reasoning skills among young Jamaican children within a guided play environment that incorporated gestures. It employed a comprehensive intervention for mathematics education, involving pre- and post-interviews with a cohort of 10 children aged 5 to 6 years. Employing a mixed-method approach, transcriptions of the children’s utterances and gestures were meticulously analysed to identify pivotal moments in their mathematical skill acquisition. The findings underscored the intricate relationship between subitising, counting, and cardinality, asserting the fundamental role of these skills in facilitating numerical development during early childhood. Notably, the study highlights the significance of gestures, particularly using fingers, for augmenting reasoning skills and nurturing a profound conceptual understanding of numerical concepts. By highlighting the symbiotic relationship between cognitive processes and physical gestures in mathematical development, the study contributes valuable insights into educational practices, emphasizing the multifaceted nature of learning in young children and advocating for the incorporation of guided play enriched with gestures in early mathematics education.
   </abstract>
   <kwd-group> 
    <kwd>
     Early Childhood Mathematics Education
    </kwd> 
    <kwd>
      Subitising
    </kwd> 
    <kwd>
      Counting
    </kwd> 
    <kwd>
      Reasoning
    </kwd> 
    <kwd>
      Jamaica
    </kwd> 
    <kwd>
      Gesture
    </kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <sec id="s1">
   <title>1. Introduction</title>
   <p>In recent decades, the global mathematics education community has significantly prioritised mathematics education in early childhood <xref ref-type="bibr" rid="scirp.134459-6">
     (Björklund et al., 2020)
    </xref>, recognising the pivotal role of numeracy skills in shaping a solid foundation for primary and advanced mathematics in later educational stages <xref ref-type="bibr" rid="scirp.134459-11">
     (Duncan et al., 2007;
    </xref> <xref ref-type="bibr" rid="scirp.134459-13">
     Gable et al., 2020)
    </xref>. This emphasis underscores the crucial need to enhance the quality of early mathematical learning as a significant step toward future educational success.</p>
   <p>In Jamaica, children’s numeracy skills lag behind those in other Caribbean countries, which reveals shortcomings in primary school education <xref ref-type="bibr" rid="scirp.134459-7">
     (Bourne, 2019)
    </xref>. Despite integrating mathematics into the early childhood curriculum <xref ref-type="bibr" rid="scirp.134459-28">
     (The Dudley Grant Memorial Trust in Collaboration with the Ministry of Education and the Early Childhood, 2010)
    </xref>, well-educated individuals in Jamaica struggle to apply mathematics in their professional lives after graduation <xref ref-type="bibr" rid="scirp.134459-21">
     (Ministry of Education in Jamaica, 2013)
    </xref>. Several educational reports also highlighted the lower mathematics skills among Jamaican students (e.g., <xref ref-type="bibr" rid="scirp.134459-14">
     George, 2023;
    </xref> <xref ref-type="bibr" rid="scirp.134459-21">
     Ministry of Education in Jamaica, 2013
    </xref>). However, few studies scrutinise learning processes and specific challenges Jamaican students face in mathematics, particularly in early childhood education, necessitating further exploration.</p>
   <p>Counting and subitising skills are crucial aspects of mathematical development <xref ref-type="bibr" rid="scirp.134459-5">
     (Björklund et al., 2018;
    </xref> <xref ref-type="bibr" rid="scirp.134459-9">
     Clements &amp; Sarama, 2014a)
    </xref>. While counting involves enumerating objects, subitising is the instant recognition of the number of objects without the need for counting <xref ref-type="bibr" rid="scirp.134459-9">
     (Clements &amp; Sarama, 2014a)
    </xref>. These skills are interconnected and vital for numeracy development, and the connection between subitising, counting, and reasoning skills has been highlighted <xref ref-type="bibr" rid="scirp.134459-9">
     (Clements &amp; Sarama, 2014a)
    </xref>. Though the importance of these skills has been recognised, they are not incorporated into the curriculum for Jamaican pre-primary mathematics education, and a paucity of research on this topic in the Jamaican context leaves gaps in understanding how to support and enhance these skills among young learners.</p>
   <p>This study explores the learning processes of young Jamaican children, specifically focusing on the development of subitising and counting skills in relation to reasoning skills. Key research questions include investigating how Jamaican children develop these skills using verbal expressions and gestures and understanding the relationship between subitising, counting, and cardinality in the context of early childhood mathematics development. This study also explores ways to inform the development of the Jamaican curriculum based on children’s learning processes. By analysing socio-cultural discussions on children’s understanding of numbers, particularly through the perspective of gestures, this research contributes valuable insights to the field.</p>
  </sec><sec id="s2">
   <title>2. Literature Review</title>
   <p>Focusing on subitising and counting, Learning Trajectories (LT) offer valuable insights, constituting a sophisticated theoretical and empirical framework. LT is based on developmental steps and offers developmental paths <xref ref-type="bibr" rid="scirp.134459-3">
     (Baroody et al., 2019: pp. 25-26)
    </xref>. It provides guidelines for defining goals for meaningful instruction, identifying children’s current developmental levels and subsequent instructional steps and designing instructions to facilitate their advancement to the next level <xref ref-type="bibr" rid="scirp.134459-3">
     (Baroody et al., 2019: p. 26)
    </xref>. LT serves as a useful integrative tool within a Neo-Piagetian cognitive framework for understanding children’s thinking processes. It covers various mathematical areas, including numbers, quantity, geometry, compositions of shapes and patterns, measurement, estimation, ordering, and algebraic thinking. Several studies have highlighted the importance of LT <xref ref-type="bibr" rid="scirp.134459-10">
     (Clements &amp; Sarama, 2014b;
    </xref> <xref ref-type="bibr" rid="scirp.134459-15">
     Jacobi-Vessels et al., 2014)
    </xref>. As subitising and counting are integral components of LT, we utilise it as our conceptual framework.</p>
   <sec id="s2_1">
    <title>2.1. Subitising</title>
    <p>Subitising is individuals’ ability to instantly recognize the number of objects without needing to count them individually. <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref> introduced two types of subitising: perceptual and conceptual. Perceptual subitising allows individuals to recognize the number of objects intuitively and simultaneously in a very small collection. In contrasting, conceptual subitising involves recognizing parts and combining them to understand the total number of objects. Developing conceptual subitising skills can help children develop numerical and arithmetic strategies. <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref> stated that 5-year-old children can perceptually subitise up to 5 and conceptually subitise up to 5, sometimes even extending to 10. Numerous studies have highlighted the importance of subitising in the development of various number concepts <xref ref-type="bibr" rid="scirp.134459-12">
      (Feza, 2015;
     </xref> <xref ref-type="bibr" rid="scirp.134459-19">
      Logan &amp; Zbrodoff, 2003;
     </xref> <xref ref-type="bibr" rid="scirp.134459-20">
      Mandler &amp; Shebo, 1982;
     </xref> <xref ref-type="bibr" rid="scirp.134459-27">
      Starkey &amp; Cooper, 1995)
     </xref>. Several others have explored the relationship between subitising and multiple object tracking, including eye-tracking <xref ref-type="bibr" rid="scirp.134459-8">
      (Chesney &amp; Haladjian, 2011;
     </xref> <xref ref-type="bibr" rid="scirp.134459-18">
      Li et al., 2010)
     </xref>. Additionally, investigations into how subitising relates to other skills, such as understanding cardinality <xref ref-type="bibr" rid="scirp.134459-25">
      (Paliwal &amp; Baroody, 2020)
     </xref> and arithmetic units <xref ref-type="bibr" rid="scirp.134459-30">
      (Wilkins et al., 2022)
     </xref>, have expanded the understanding of the role of subitising in mathematical cognition. These studies reveal that subitising is closely linked with various aspects of numerosity. The current study contributes to this ongoing research trend, further investigating the relationship between subitising and other numeracy skills.</p>
   </sec>
   <sec id="s2_2">
    <title>2.2. Verbal and Object Counting</title>
    <p>Verbal and object counting are crucial for composing and decomposing numbers <xref ref-type="bibr" rid="scirp.134459-23">
      (Nakawa et al., 2020)
     </xref>. Verbal counting refers to saying number words in the correct order and helps children understand the principle of the number system and patterns <xref ref-type="bibr" rid="scirp.134459-2">
      (Baroody, 1987)
     </xref>. <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref> emphasized verbal counting over rote counting, as it allows children to use mathematical structures and patterns without relying on rote memory. They also emphasized that verbal counting helps the development of quantitative thinking. Conversely, object counting requires children to verbally enumerate while coordinating their fingers with the objects being counted. As <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref> pointed out, this method not only is a fundamental mathematical skill but also serves as an algorithm. Object counting is particularly useful for quantifying groups and is an alternative to subitising the collections of objects. Clements and Sarama also observed that 5-year-old children can count and produce quantities with objects more than 10. The crucial roles of verbal and object counting in early mathematical development underscore the importance of ongoing research in these areas, making this study critical in enhancing effective educational practices.</p>
    <p>Numerous studies have highlighted the importance of reasoning skills in mathematical development for your children <xref ref-type="bibr" rid="scirp.134459-15">
      (Jacobi-Vessels et al., 2014;
     </xref> <xref ref-type="bibr" rid="scirp.134459-17">
      Lee &amp; Md-Yunus, 2015)
     </xref>. <xref ref-type="bibr" rid="scirp.134459-17">
      Lee and Md-Yunus (2015)
     </xref> observed that assessments tend to focus only on evaluating children’s answers as correct or incorrect. However, they argued that determining whether children can rely on the reasoning behind their answers is crucial. They further emphasised that evaluations should incorporate reasoning questions such as “Why did you do this?” and “How did you do that?” to effectively assess young children’s numerical knowledge and skills. Additionally, several studies have emphasized the importance of language in mathematical thinking. <xref ref-type="bibr" rid="scirp.134459-29">
      Van Oers (2013)
     </xref> proposed paying close attention to children’s narratives to better understand their mathematical thinking, highlighting the need to explore how young children communicate about numbers and quantities.</p>
    <p>Furthermore, <xref ref-type="bibr" rid="scirp.134459-22">
      Mix et al. (2005)
     </xref> asserted that children develop numerical skills through verbal and non-verbal interactions. Specifically, many studies have explored the role of gestures, a form of body action categorized non-verbal expression (e.g., <xref ref-type="bibr" rid="scirp.134459-24">
      Nakawa et al., 2023;
     </xref> <xref ref-type="bibr" rid="scirp.134459-16">
      Johansson et al., 2014;
     </xref> <xref ref-type="bibr" rid="scirp.134459-26">
      Radford, 2008
     </xref>). However, few studies specifically investigated the link between young children’s gestures and their learning and thinking processes. Therefore, this study analysed both verbal expressions and gestures to understand the development of children’s numerical skill, focusing on counting and subitising.</p>
   </sec>
   <sec id="s2_3">
    <title>2.3. The Jamaican Context</title>
    <p>The Jamaican educational system for early childhood education involves two phases: one for 0 - 2 years old and another for 3 - 5 years old. The curriculum framework emphasises an integrated curriculum; therefore, children aged 3 - 5 years learn numeracy and mathematics-related concepts in integrated lessons rather than subject-specific lessons <xref ref-type="bibr" rid="scirp.134459-28">
      (The Dudley Grant Memorial Trust in Collaboration with the Ministry of Education and the Early Childhood, 2010)
     </xref>. For instance, 5 years old are targeted for “intellectual empowerment”, among six developmental objectives. They are expected to engage in mathematical activities, such as counting objects up to 20, writing numerals up to 20, and performing basic addition and subtraction <xref ref-type="bibr" rid="scirp.134459-28">
      (The Dudley Grant Memorial Trust in Collaboration with the Ministry of Education and the Early Childhood, 2010: pp. 123-124)
     </xref>. While counting is a component of the pre-primary mathematics education, the curriculum does not specifically mention subitising despite its recognized importance in numerical development. Thus, the current review highlights a gap in the Jamaican early childhood education system, especially in the area of subitising, illustrating the need for investigating, and contributing to, the enhancement of early numeracy education strategies.</p>
   </sec>
  </sec><sec id="s3">
   <title>3. Methodological Framework</title>
   <sec id="s3_1">
    <title>Data Collection</title>
    <p>The study was conducted from April to May 2021 in Port Antonio, Jamaica, selected for its reported weaker mathematical performances than other regions. Author 2’s involvement in a non-profit organisation programme supporting educational activities during the COVID-19 pandemic further motivated the location choice. Given the rural nature of Port Antonio, educational challenges intensified during the pandemic. To address these constraints, we prioritised participants with established relationships, particularly those engaged in Author 2’s support activities. This pre-existing rapport facilitated trust, ensuring more reliable data collection. Informed written consent was obtained from all participants’ guardians after the study’s purpose, procedures, and potential risks were comprehensively explained to them.</p>
    <p>The research comprised a pre-interview, a 10-day intervention, and a post-interview. During the intervention, each child participated in individual interviews in a designated space, engaging in play and responding to prepared questions (see the appendix). Based on the schedule shown in the appendix, we provided each child with a similar task and modified the level of the tasks according to their competencies. Each child was called to a small room for 10 - 15 minutes daily. Within the guided play setting, Author 2 asked the children some questions while playing with each. Owing to COVID-19 precautions, only one child was accommodated at a time. After <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama’s (2014a)
     </xref> framework was tailored for preschool children, sessions were adapted based on each child’s competency level, as assessed by Author 2. Conversations and physical movements were recorded and transcribed for thematic analysis. This study employed a mixed-method design <xref ref-type="bibr" rid="scirp.134459-1">
      (Bakker &amp; van Eerde, 2015;
     </xref> <xref ref-type="bibr" rid="scirp.134459-4">
      Bikner-Ahsbahs et al., 2015: p. 429)
     </xref>, incorporating qualitative analysis of transcriptions to identify mathematically significant moments in children’s development. Author 2 conducted interviews in both Patois, the local Jamaican language, and English, accommodating children with varying language proficiency. <xref ref-type="table" rid="table1">
      Table 1
     </xref> presents interview questions categorised under each theme, addressing verbal counting, object counting, subitising up to 5, and subitising up to 10 (Q 1 - 3, Q 4 - 6, Q 7 - 15, and Q 16 - 20, respectively).</p>
    <table-wrap id="table1">
     <label>
      <xref ref-type="table" rid="table1">
       Table 1
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.134459-"></xref>Table 1. Pre-/post-interview items.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td acenter" width="32.59%"><p style="text-align:center">No. of interview items</p></td> 
       <td class="custom-bottom-td acenter" width="67.41%"><p style="text-align:center">Questions</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter" width="32.59%"><p style="text-align:center">1</p></td> 
       <td class="custom-top-td aleft" width="67.41%"><p style="text-align:left">Can you count numbers up to 10?</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">2</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">Can you count numbers up to 20?</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">3</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">Can you count backwards from 5 to 1?</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">4</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">Can you count these blocks? (3)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">5</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">Can you count these blocks? (5)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">6</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">Can you count these blocks? (8)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">7</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (1)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">8</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (3)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">9</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (4)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">10</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (2)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">11</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (5)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">12</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (2 diagonal)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">13</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (3 diagonal)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">14</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (5 square)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">15</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (4 square)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">16</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (6)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">17</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (8)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">18</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (7)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">19</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (10)</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="32.59%"><p style="text-align:center">20</p></td> 
       <td class="aleft" width="67.41%"><p style="text-align:left">How many dots do you see? (9)</p></td> 
      </tr> 
     </table>
    </table-wrap>
   </sec>
  </sec><sec id="s4">
   <title>4. Result</title>
   <p>
    <xref ref-type="table" rid="table2">
     Table 2
    </xref> and <xref ref-type="table" rid="table3">
     Table 3
    </xref> present the results of the pre- and post-interviews. The horizontal numbers show each question item and the vertical ones each child.</p>
   <table-wrap id="table2">
    <label>
     <xref ref-type="table" rid="table2">
      Table 2
     </xref></label>
    <caption>
     <title>
      <xref ref-type="bibr" rid="scirp.134459-"></xref>Table 2. Result of the pre-interview.</title>
    </caption>
    <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
     <tr> 
      <td class="custom-bottom-td cell-with-diagonal-border aright" width="14.71%"><p style="text-align:right">Questions</p><p style="text-align:left">Children</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">2</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">3</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">4</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">5</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">6</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">7</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">8</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">9</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">10</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">11</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">12</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">13</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">14</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">15</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">16</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">17</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">18</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">19</p></td> 
      <td class="custom-bottom-td acenter" width="4.27%"><p style="text-align:center">20</p></td> 
     </tr> 
     <tr> 
      <td class="custom-top-td acenter" width="14.71%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">2</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">3</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">4</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">5</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">6</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">7</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">8</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">9</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">10</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
    </table>
   </table-wrap>
   <table-wrap id="table3">
    <label>
     <xref ref-type="table" rid="table3">
      Table 3
     </xref></label>
    <caption>
     <title>
      <xref ref-type="bibr" rid="scirp.134459-"></xref>Table 3. Result of the post-interview.</title>
    </caption>
    <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
     <tr> 
      <td class="custom-bottom-td cell-with-diagonal-border aright" width="14.71%"><p style="text-align:right">Questions</p><p style="text-align:left">Children</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">2</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">3</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">4</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">5</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">6</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">7</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">8</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">9</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">10</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">11</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">12</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">13</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">14</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">15</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">16</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">17</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">18</p></td> 
      <td class="custom-bottom-td acenter" width="4.26%"><p style="text-align:center">19</p></td> 
      <td class="custom-bottom-td acenter" width="4.27%"><p style="text-align:center">20</p></td> 
     </tr> 
     <tr> 
      <td class="custom-top-td acenter" width="14.71%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="custom-top-td acenter" width="4.27%"><p style="text-align:center">1</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">2</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">3</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">1</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">4</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">1</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">5</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">6</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">7</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">8</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">9</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
     <tr> 
      <td class="acenter" width="14.71%"><p style="text-align:center">10</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">1</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.26%"><p style="text-align:center">0</p></td> 
      <td class="acenter" width="4.27%"><p style="text-align:center">0</p></td> 
     </tr> 
    </table>
   </table-wrap>
   <p>Given the small number of participants, a statistical analysis would not be valid. Therefore, we focused on changes in the total score and the average percentage per child and per question item. <xref ref-type="table" rid="table2">
     Table 2
    </xref> and <xref ref-type="table" rid="table3">
     Table 3
    </xref> show the improvement observed in each child.</p>
   <sec id="s4_1">
    <title>4.1. Analysis</title>
    <p>During the intervention programme, we analysed the process and development of counting and subitising in relation to reasoning skills. We divided pupils into three groups based on their performance in the activities. In the first group (No. 1 - 4), children successfully enhanced their subitising skills up to 10 and their reasoning skills. They were proficient in both verbal and object counting. In the second group (No. 5 - 6), children showed slight improvement in Q1 - 16 but almost no improvement in more advanced questions Q17 - 20. The third group (No. 7 - 10) demonstrated significant improvements in verbal and object counting and subitising skills up to 5, although their skills did not reach the level achieved by the other two groups.</p>
    <p>Focusing on two children from the first and third groups as case studies, we examined in depth how one child could develop their skills during the intervention. We used pseudonyms for the children, as detailed below. Using transcripts and recording, two authors highlighted the scenes which related to their mathematical thinking and determined which part showed their improvement in different skills focused on in this study. Furthermore, we chronologically checked how these changes were intertwined qualitatively.</p>
   </sec>
   <sec id="s4_2">
    <title>4.2. Karen’s Case: A Child in the Higher Performing Group</title>
    <p>In the first group, all 4 children demonstrated their ability to subitise up to 10 at the post-interview, showing improvements from the pre-interview. We took one child’s (Karen, a 5-year-old) process of learning, focusing on subitising along with her language and gestures in guided play.</p>
    <p>In the pre-interview, Karen could not subitize 6, 8, and 9. Additionally, she failed to explain her thoughts as follows:</p>
    <p>T: How much is this? {In Q16, Author 2 shows a flash card with 6 dots}</p>
    <p>S: 8.</p>
    <p>T: 8. All right. Why do you think it was 8?</p>
    <p>S: Because it looks like 8.</p>
    <p>T: Because it looks like 8? Okay.</p>
    <p>T: How about this one? {In Q17, Author 2 shows a flash card with 8 dots}</p>
    <p>S: 9.</p>
    <p>T: Why do you think this is 9?</p>
    <p>S: Because I know.</p>
    <p>As shown above, Karen could not subitise and provide a logical explanation. On the second day, during the game in which she had to identify the numbers of fingers Author 2 held up, she could subitise numbers, though she could not explain how she arrived at answers. Author 2 attempted to show her the combination of 5 and 2 with his fingers.</p>
    <p>T: How about this one? {Author 2 holding up 7 fingers}</p>
    <p>S: 7; I got it because I have thrown 7 balls.</p>
    <p>T: Oh, because you have thrown 7 balls, you remembered it?</p>
    <p>T: So, how many over here? {Author 2 moving the right hand with 5 fingers}</p>
    <p>S: 5.</p>
    <p>T: How many over here? {Author 2 moving the left hand with 2 fingers}</p>
    <p>S: 2.</p>
    <p>T: So, 5 and 2 make?</p>
    <p>S: 7!</p>
    <p>T: 7, that’s right. Then what about this one? {Author 2 holding up 9 fingers}</p>
    <p>S: 9.</p>
    <p>T: You didn’t even count it. How did you know that?</p>
    <p>S: Because I have thrown 9 balls.</p>
    <p>T: Oh, you have thrown 9 balls and you remembered that.</p>
    <p>S: {Child nods}</p>
    <p>T: So, how many over this side? {Author 2 moving the right hand with 5 fingers}</p>
    <p>S: 5.</p>
    <p>As seen above, Author 2 explained using a group of 5 and the remaining numbers with fingers.</p>
    <p>On the third day, Author 2 showed cards displaying various numbers of apples and asked her to identify the numbers. When Author 2 showed a card with 8 apples, she could not subitise 8 and instead counted all 8 apples. However, she could explain as Author 2 had demonstrated on the second day and as previously shown. Her gestures clearly indicated that she had a sense of decomposing 5 and 3 to make 8 in her mind. The following transcript corresponds to <xref ref-type="fig" rid="fig1">
      Figure 1
     </xref>.</p>
    <p>T: How many are these? {A flashcard with 8 apples on it is shown}</p>
    <p>S: {Looking at the card (<xref ref-type="fig" rid="fig1(1-1)">
      Figure 1(1-1)
     </xref>). She is counting the number of apples on the flashcard by looking (<xref ref-type="fig" rid="fig1(1-2)">
      Figure 1(1-2)
     </xref>)} 8.</p>
    <p>T: 8, How did you know that?</p>
    <p>S: Because 3 apples {Showing her hand wide (<xref ref-type="fig" rid="fig1(1-3)">
      Figure 1(1-3)
     </xref>)} and 5 apples {Clapping her hands and putting them on her left side (<xref ref-type="fig" rid="fig1(1-4)">
      Figure 1(1-4)
     </xref>)} make 8 {Showing her clapped hand at the centre and opening them (<xref ref-type="fig" rid="fig1(1-5)">
      Figure 1(1-5)
     </xref>)}.</p>
    <p>T: Oh, where is 3? {Child points to the bottom row of apples on the card} Oh, these are 3? Where is 5? {Points to the top row of apples on the card} Oh, this is 5? So…</p>
    <p>S: 5 is a bigger number than 3, so it could make 8.</p>
    <p>T: Oh, 5 is bigger than 3 and that makes...?</p>
    <p>S: 8.</p>
    <p>
     <xref ref-type="bibr" rid="scirp.134459-"></xref></p>
    <fig id="fig1" position="float">
     <label>Figure 1</label>
     <caption>
      <title>Figure 1. Karen’s logical explanation for her answer, 8 (including <xref ref-type="fig" rid="figFigures 1(1-1)-(1-5)">
        Figures 1(1-1)-(1-5)
       </xref>).</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId12.jpeg?20240716083715" />
    </fig>
    <p>The transcript indicated that Karen spoke as Author 2 had demonstrated the previous day, although she used ‘count all’ strategies and did not use subitising. Moreover, her gestures, such as displaying her fingers, putting her hands together, and leaning them to one side, helped reinforce her understanding that the two numbers combined to make 8, which relates to the concepts of number composition and decomposition. On the fifth day, she could finally subitise numbers correctly and explain how she arrived at the answers.</p>
    <p>T: Can you find 8?</p>
    <p>S: {Child takes cards with 8 dots and 8 apples on the table}</p>
    <p>T: So, how did you know that it is 8?</p>
    <p>S: Because you said 8.</p>
    <p>T: Because I said 8?</p>
    <p>S: Because it is 5 and 3.</p>
    <p>On the ninth day, she applied reasoning skills to different numbers using her fingers, demonstrating development in reasoning skills. Her skills appeared stable, and with different numbers, her fingers supported her thinking, allowing her to explain the conceptual subitising process. Her improvement in reasoning skills was evident in an activity where she had to match the number of her fingers to the amount requested by Author 2.</p>
    <p>T: Can you show me 2?</p>
    <p>S: {Holds up 2 fingers}</p>
    <p>T: All right, can you show me 4?</p>
    <p>S: {Holds up 2 sets of 2 fingers}</p>
    <p>T: Ah, this is very interesting. Is this 4?</p>
    <p>S: {Nods} 2 and 2 make 4.</p>
    <p>T: Oh, this is also 4 {Holds up 4 fingers} and this is also 4 {shows 2 sets of 2 fingers}. All right, can you show me 3?</p>
    <p>S: {Holds up 3 fingers (<xref ref-type="fig" rid="fig2">
      Figure 2
     </xref>)}</p>
    <p>T: Ah, that’s 3. Okay, can you show me 3 in a different way?</p>
    <fig id="fig2" position="float">
     <label>Figure 2</label>
     <caption>
      <title>Figure 2. Karen gestures to show 3.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId13.jpeg?20240716083715" />
    </fig>
    <p>S: {Holds up 2 fingers of one hand and 1 of the other hand (<xref ref-type="fig" rid="fig3">
      Figure 3
     </xref>)}</p>
    <fig id="fig3" position="float">
     <label>Figure 3</label>
     <caption>
      <title>Figure 3. Karen gestures in another way.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId14.jpeg?20240716083715" />
    </fig>
    <p>T: Ah! So how many over here? {Gestures to her left hand}</p>
    <p>S: 2</p>
    <p>T: And how many over—{Gestures to her right hand}</p>
    <p>S: 1</p>
    <p>T: So, 2 and 1 make?</p>
    <p>S: 3</p>
    <p>T: 3. Very good. Can you show me 5?</p>
    <p>S: I’m going to make it a different way.</p>
    <p>T: Ah.</p>
    <p>S: {Holds up 3 fingers of one hand and 2 of the other (<xref ref-type="fig" rid="fig4">
      Figure 4
     </xref>)}</p>
    <fig id="fig4" position="float">
     <label>Figure 4</label>
     <caption>
      <title>Figure 4. Karen demonstrates 5 in another way.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId15.jpeg?20240716083715" />
    </fig>
    <p>T: Okay.</p>
    <p>S: 1, 2, 3, 4, 5.</p>
    <p>T: Aha! So, 5 can be what and what?</p>
    <p>S: 3 and 2.</p>
    <p>T: 3 and 2 can be 5. Can you come up with any other way to make 5?</p>
    <p>S: {Nods} Hmm. {Holds up 5 fingers of one hand}.</p>
    <p>T: Ah! That is 5, right?</p>
    <p>S: {Nods}</p>
    <p>These conversations and gestures indicate that Karen applied previously acquired reasoning mechanisms to different numbers. Before this activity, she had explained her reasoning only for numbers larger than 5. However, once she learned to logically explain her reasoning, she spontaneously applied this method to smaller numbers.</p>
    <p>Furthermore, after becoming accustomed to this type of reasoning, she further deepened her understanding of number decomposition across various numbers, making her subitising more stable. Interestingly, she spontaneously closed her eyes during this practice as shown in the following transcripts, which helped her focus on the numbers on each of her hands, thereby facilitating her understanding of number decomposition.</p>
    <p>S: I can make it without looking.</p>
    <p>T: Oh, you can do it without looking! That’s very good. How about 8?</p>
    <p>S: {Holds up 8 fingers with her eyes closed}</p>
    <fig id="fig5" position="float">
     <label>Figure 5</label>
     <caption>
      <title>Figure 5. Karen demonstrates 8 with her eyes closed.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId16.jpeg?20240716083715" />
    </fig>
    <p>T: 8 is…?</p>
    <p>S: 3… 5 and 3 (<xref ref-type="fig" rid="fig5">
      Figure 5
     </xref>).</p>
    <p>T: Very good. How about 9?</p>
    <p>S: {Holds up 9 fingers with her closed eyes}</p>
    <p>T: 9 is…?</p>
    <p>S: 5 and 4.</p>
    <p>T: 5 and 4, very good. 10! How much—How about 10?</p>
    <p>S: {Holds up 10 fingers with her closed eyes}</p>
    <p>T: 10 is…?</p>
    <p>S: 5 and 5.</p>
    <p>T: 5 and 5. Very Good!</p>
    <p>Regarding numbers larger than 5, she used one hand to represent 5 and expressed the remainder of the number with her other hand, demonstrating a technical understanding of the concept. On the final day of the practice, she successfully subitised numbers without counting during the flashcard activity and consistently repeated this skill. Furthermore, she explained how she arrived at the numbers in her answers and successfully identified the number of dots in various groups, showing a significant improvement from the pre-interview and the first day.</p>
    <p>In the final interview, she could not only subitise numbers but also explain her actions by stating the composition of two numbers and explaining original numbers. By the time of the post-interview, her subitising skills had become very stable.</p>
   </sec>
   <sec id="s4_3">
    <title>4.3. Antony’s Case: A Child in the Third-Performing Group</title>
    <p>At the stage of the pre-interview, Antony did not understand the concept of cardinality, as later transcripts clarify. Owing to this lack of understanding, when asked to subitise cards displaying dots, Antony could not identify the number but resorted to counting them.</p>
    <p>T: How many is this? {Flashcard of 1 dot is shown}</p>
    <p>S: 1.</p>
    <p>T: Mhmm. {Flashcard of 3 dots is shown (<xref ref-type="fig" rid="fig6">
      Figure 6
     </xref>)}</p>
    <p>S: 1, 2, 3.</p>
    <p>T: Mhmm. {Flashcard of 4 dots is shown}</p>
    <p>S: 1, 2, 3, 4.</p>
    <p>T: Mhmm. {Flashcard of 2 dots is shown}</p>
    <p>S: 1, 2.</p>
    <p>T: Mhmm. {Flashcard of 5 dots is shown}</p>
    <p>S: 1, 2, 3, 4, 5.</p>
    <p>T: Mhmm, all right.</p>
    <fig id="fig6" position="float">
     <label>Figure 6</label>
     <caption>
      <title>Figure 6. Antony’s object counting.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId17.jpeg?20240716083715" />
    </fig>
    <p>In <xref ref-type="fig" rid="fig6">
      Figure 6
     </xref>, Antony’s eyes moved from left to right, and he counted the dots one by one instead of identifying the total number of dots immediately.</p>
    <p>On the first day of practice, when asked to count the number of balls in a basket, Antony could state the number of balls, such as “1, 2, 3”. However, when Author 2 asked him about the total number of balls, he repeatedly recounted from 1 instead of directly stating the total number, indicating that he lacked an understanding of cardinality.</p>
    <p>T: How many balls did you get so far?</p>
    <p>S: 1, 2, 3.</p>
    <p>T: How many?</p>
    <p>S: 1, 2, 3.</p>
    <p>T: So, how many in all? {Gestures towards the basket with large red balls}</p>
    <p>S: 1, 2, 3.</p>
    <p>T: Hmm... These are 3 balls, right? So, you have 3 balls (See <xref ref-type="fig" rid="fig7">
      Figure 7
     </xref>).</p>
    <fig id="fig7" position="float">
     <label>Figure 7</label>
     <caption>
      <title>Figure 7. Antony says 1, 2, 3 while touching.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId18.jpeg?20240716083715" />
    </fig>
    <p>Antony’s responses indicate that he did not yet grasp the concept that the last counted number represents the total quantity of those objects. He could not connect the counting process with the overall quantity of objects.</p>
    <p>However, interestingly, when asked to subitise the number of fingers displayed by Author 2, Antony could do so without counting them, even though he could subitise dots in the previous interviews.</p>
    <p>T: How many are these? {4 fingers are shown}</p>
    <p>S: 4.</p>
    <p>T: How many are these? {2 fingers are shown}</p>
    <p>S: 2.</p>
    <p>T: Oh, you are so smart. How many are these? {5 fingers are shown}</p>
    <p>S: 5!!</p>
    <p>
     <xref ref-type="fig" rid="fig8">
      Figure 8
     </xref> illustrates that the child responded “5” when asked “how many?”, showing his 5 fingers. The primary reason he could subitise fingers, even though he failed to do so with dots, is supported by <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref>. They</p>
    <fig id="fig8" position="float">
     <label>Figure 8</label>
     <caption>
      <title>Figure 8. Antony subitises while seeing the number of fingers.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId19.jpeg?20240716083716" />
    </fig>
    <p>argued that subitising with fingers involves unique spatial patterns, which can be easier for children to recognize. Therefore, Antony may have internalized the spatial patterns of fingers corresponding to numbers in his mind, enabling him to subitise without counting.</p>
    <p>On the fifth day, during the activity of counting blocks, Antony finally learned to identify the number of blocks by using his ability to recognize finger patterns, as follows:</p>
    <p>T: So how many blocks are there?</p>
    <p>S: 1, 2, 3.</p>
    <p>T: So how many blocks? That’s…? (<xref ref-type="fig" rid="fig9">
      Figure 9
     </xref>)</p>
    <p>S: 3! (<xref ref-type="fig" rid="fig10">
      Figure 10
     </xref>)</p>
    <p>T: Yeah, you don’t have to count them again. You can just say 3. Right, how much is this?</p>
    <p>S: 1, 2.</p>
    <p>T: So that’s 2! Yes, that’s correct! How many are these?</p>
    <p>S: 1, 2, 3, 4.</p>
    <p>T: So that’s…?</p>
    <p>S: 4 blocks.</p>
    <p>T: Yes, 4 blocks. That’s perfect! Let us try just one more. How many are these?</p>
    <p>S: 1, 2, 3, 4, 5.</p>
    <p>T: So that’s…?</p>
    <p>S: 5 blocks.</p>
    <p>In <xref ref-type="fig" rid="fig9">
      Figure 9
     </xref>, the interviewer placed three blocks on the desk and asked Antony for the number. After he counted the blocks once, the interviewer repeated the question “How many?” Antony was about to count them again “1, 2, 3”, as he had done previously. However, this time, the interviewer showed three fingers, mirroring as many objects on the desk, as illustrated in <xref ref-type="fig" rid="fig9">
      Figure 9
     </xref>, to help Antony connect the counting process with the quantity of the blocks by using spatial finger patterns. Thus, Antony stopped recounting and displayed his 3 fingers, saying “3!” excitedly, as shown in <xref ref-type="fig" rid="fig10">
      Figure 10
     </xref>.</p>
    <fig id="fig9" position="float">
     <label>Figure 9</label>
     <caption>
      <title>Figure 9. Antony wants to count the number of the objects.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId20.jpeg?20240716083716" />
    </fig>
    <fig id="fig10" position="float">
     <label>Figure 10</label>
     <caption>
      <title>Figure 10. Antony shows his three fingers corresponding with those of Author 2.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId21.jpeg?20240716083716" />
    </fig>
    <p>This improvement was also observed with different numbers. When asked to count 2 blocks, he touched them one by one, saying “1, 2”, and then displayed 2 fingers, looking at them (<xref ref-type="fig" rid="fig11">
      Figure 11
     </xref>).</p>
    <fig id="fig11" position="float">
     <label>Figure 11</label>
     <caption>
      <title>Figure 11. Antony corresponds with his fingers to the objects.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId22.jpeg?20240716083716" />
    </fig>
    <p>Following this, Antony said “2!”, confirming the total number of blocks to the interviewer and expressing his excitement (<xref ref-type="fig" rid="fig12">
      Figure 12
     </xref>). This time, he could specify the total number without attempting to recount the blocks. Here, Antony appeared to have understood the concept of cardinality, recognizing that the last counted number represented the total quantity of the objects.</p>
    <p>On the seventh day, Antony finally learned subitising up to 5, helped by his finger patterns. Previously, in the pre-interview and earlier conversations, when</p>
    <fig id="fig12" position="float">
     <label>Figure 12</label>
     <caption>
      <title>Figure 12. Antony confirms 2 with the Author 2.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId23.jpeg?20240716083716" />
    </fig>
    <p>asked to subitise cards with dots, he would count each dot, such as “1, 2, 3”. However, at this stage, he stopped counting and instead stated the total number directly, displaying the same number with his fingers as follows:</p>
    <p>T: How many apples are these? {Shows flashcard}</p>
    <p>S: 1? (<xref ref-type="fig" rid="fig13(13-1)">
      Figure 13(13-1)
     </xref>)</p>
    <p>T: Apple, yes. 1 apple. How many apples are these?</p>
    <p>S: 2 apples. (<xref ref-type="fig" rid="fig13(13-2)">
      Figure 13(13-2)
     </xref>)</p>
    <p>T: 2 apples. Very good. How many apples are these?</p>
    <p>S: 3 (<xref ref-type="fig" rid="fig13(13-3)">
      Figure 13(13-3)
     </xref>)</p>
    <p>T: 3 apples, very good. I’m proud of you! How many apples?</p>
    <p>S: It’s… 4! (<xref ref-type="fig" rid="fig13(13-4)">
      Figure 13(13-4)
     </xref>)</p>
    <fig id="fig13" position="float">
     <label>Figure 13</label>
     <caption>
      <title>Figure 13. Antony’s unique way of expressing the number of apples with his fingers.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId24.jpeg?20240716083716" />
    </fig>
    <p>T: 4 apples, right. The next one is kind of tricky. How many apples are these?</p>
    <p>S: 6?</p>
    <p>T: That’s very close. Right. 1, 2, 3, 4, 5. So that is…</p>
    <p>S and T together: 5 apples!</p>
    <p>Given his ability in identifying finger patterns and associating them with numbers, Antony utilized his fingers, displaying the corresponding number with his fingers to subitise the cards with dots. Thus, he used his finger patterns as a mediating tool to facilitate subitising.</p>
    <p>After continuous practice, Antony’s skills of subitising numbers up to 5 became increasingly stable. In the post-interview, he could subitise up to 5 accurately and confidently.</p>
    <p>T: All right. How many...are these?</p>
    <p>S: 3 dots on the card! (<xref ref-type="fig" rid="fig14(14-1)">
      Figure 14(14-1)
     </xref>)</p>
    <p>T: 3 dots on the card. All right. How many are these?</p>
    <p>S: 4…</p>
    <p>T: How many are these?</p>
    <p>S: 4 dots on the card! (<xref ref-type="fig" rid="fig14(14-2)">
      Figure 14(14-2)
     </xref>)</p>
    <fig id="fig14" position="float">
     <label>Figure 14</label>
     <caption>
      <title>Figure 14. Antony subitising numbers.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/6308005-rId25.jpeg?20240716083716" />
    </fig>
    <p>Initially, Antony struggled with the concept of cardinality and relied on counting each object, even in subitising tasks. Over time, his ability to subitise improved significantly, supported by his recognition of finger patterns. His use of finger patterns as a mediating tool was instrumental in this development, reflecting a substantial growth in his understanding of cardinality.</p>
   </sec>
  </sec><sec id="s5">
   <title>5. Discussion and Findings</title>
   <sec id="s5_1">
    <title>5.1. Verbal and Object Counting</title>
    <p>Analysis of interviews revealed that some children, as exemplified by Antony, encountered challenges in grasping cardinality, impacting their object-counting abilities. Antony’s struggles to articulate the total quantity, though he verbally counted objects, underscore the necessity for teachers to assess counting levels and pose follow-up questions. Antony’s progress, shown by a gradual improvement in his ability to identify total quantities through consistent inquiry, highlights the crucial role of teacher guidance in fostering children’s mathematical development.</p>
   </sec>
   <sec id="s5_2">
    <title>5.2. Relationship between Subitising, Counting, and Cardinality</title>
    <p>Observations of Antony’s play revealed interconnections between subitising, counting, and cardinality. Although lacking cardinality initially, Antony demonstrated proficiency in subitising fingers, suggesting a connection between spatial patterns and numbers, as described by <xref ref-type="bibr" rid="scirp.134459-9">
      Clements and Sarama (2014a)
     </xref>. This subitising ability, potentially influenced by Jamaican educational practices of incorporating finger patterns and use, served as a mediating tool for understanding object counting and developing cardinality. Once he developed cardinality, Antony’s subitising skills significantly improved and became stable. This symbiotic relationship between cardinality and subitising skills was evident, aligning with <xref ref-type="bibr" rid="scirp.134459-25">
      Paliwal and Baroody’s (2020)
     </xref> findings, emphasising the mutual reinforcement of these skills.</p>
   </sec>
   <sec id="s5_3">
    <title>5.3. Subitising and Reasoning Skills through Gestures</title>
    <p>Significant improvement in subitising skills, particularly through gesture integration, was observed among the children, exemplified by Karen. Initially unable to provide logical explanations, Karen’s progression involved verbal reasoning strengthened by gestures. Her use of gestures, such as displaying fingers, mirrored her verbal explanations, displaying the integration’s impact on deepening conceptual understanding. Karen’s flexibility in applying learned skills to different numbers underscored the depth of her conceptual understanding, facilitated by the fusion of gestures and verbal reasoning. This aligns with <xref ref-type="bibr" rid="scirp.134459-16">
      Johansson et al.’s (2014)
     </xref> assertion that language alone is insufficient for fully expressing mathematical understanding.</p>
    <p>Similarly, Antony’s use of fingers as a mediating tool in subitising clearly highlighted the role of gestures in mathematical learning, resonating with <xref ref-type="bibr" rid="scirp.134459-24">
      Nakawa et al.’s (2023)
     </xref> suggestions. <xref ref-type="bibr" rid="scirp.134459-18">
      Li et al. (2010)
     </xref> claim regarding the benefits of pointing or nodding during counting was reinforced. These findings underscore the importance of observing children’s gestures to comprehend their learning process and encouraging physical actions to deepen conceptual understanding. However, further exploration is warranted to understand the diverse roles of various gestures across cultures and regions in impacting learning processes.</p>
   </sec>
  </sec><sec id="s6">
   <title>6. Implications for Jamaican Mathematics Curriculum Development</title>
   <p>This section addresses our third research question, drawing from our findings. The research demonstrated a significant connection between counting and subitising, exemplified by Antony’s understanding of cardinality through finger subitising. This underscores the potential of subitising to accelerate children’s understanding of counting and numbers. Despite its importance, subitising is currently absent in the Jamaican curriculum and lacks widespread recognition among educators. Therefore, integrating subitising, alongside counting, into the curriculum could enhance numerical understanding among Jamaican children. Introducing playful subitising activities with a competitive element may prove effective, as they enhance motivation, making learning more engaging.</p>
   <p>Furthermore, our study emphasizes the value of utilizing finger patterns to bolster numerical understanding in the Jamaican context. While finger use is commonplace in Jamaican education, our research showcases the efficacy of employing fingers, specifically as patterns for subitising. Introducing finger patterns as an initial step to understanding subitising can be a powerful tool, supporting further learning. We propose incorporating the use of finger patterns into the curriculum guide and teaching resources, facilitating easier integration of subitising activities into teaching practices and strengthening children’s mathematical foundations.</p>
   <p>Our study also revealed how gestures, as demonstrated by children like Karen, contribute to deepening understanding and applying numerical concepts. Integrating gestures into teaching methods has the potential to enhance children’s reasoning skills. This highlights the need for teachers to observe children’s physical actions, tailoring approaches to individual learning processes. Although reasoning skills are underscored in the curriculum guide, specific methodologies are insufficiently outlined. We recommend incorporating gesture-based instruction in the curriculum and teacher resource books, providing practical tools and examples for educators. As observed in the interviews, children effectively express their thoughts using gestures, particularly when subitising with fingers, making the explanation process more accessible and contributing to conceptual understanding.</p>
   <p>Incorporating these insights into curriculum documents and supplementary resources can enhance the effectiveness of mathematics education in Jamaica, establishing a robust foundation for future mathematical learning and reasoning.</p>
  </sec><sec id="s7">
   <title>7. Conclusion</title>
   <p>This study presents novel findings with two prominent implications. First, recognising the robust interconnection between subitising, counting, and cardinality is crucial for curriculum development. Given the lack of emphasis on subitising in Jamaican textbooks, redirecting focus towards this skill could fortify children’s foundational understanding of cardinality and number recognition. Second, educators should meticulously observe children’s reasoning processes, particularly attending to gestures, to enhance their conceptual understanding of numbers. By incorporating these insights into educational practices and curricula, teachers stand to significantly improve the effectiveness of mathematics teaching in Jamaica. However, the study has limitations. The participant selection, driven by pre-existing relationships imposed by the COVID-19 constraints, may introduce selection bias and limit sample diversity. Additionally, one-on-one interviews, implemented as a COVID-19 precaution, lack social and peer interaction, potentially influencing children’s reactions. Consequently, the insights may not fully encapsulate the broader experiences of preschool children in more typical settings. Acknowledging these limitations, future research should employ diverse sampling strategies, engage more children, and explore how children’s multimodal expressions relate to numerical understanding and skills.</p>
  </sec><sec id="s8">
   <title>Acknowledgements</title>
   <p>This work was supported by Japan Society for the Promotion of Science (JSPS) KAKENHI Grant Numbers JP23K22289. We would like to thank Editage (<xref ref-type="bibr" rid="scirp.134459-https://www.editage.com/">
     https://www.editage.com/
    </xref>) for English language editing.</p>
  </sec><sec id="s9">
   <title>Appendix: Contents of Interventions</title>
   <p>Week 1 (V: Verbal counting; O: Object counting; S: Subitising)</p>
   <p>DAY 1</p>
   <p>V: Children should be able to count 1 - 5 verbally.</p>
   <p>O: Children should be able to count balls.</p>
   <p>O: Children should be able to count blocks (3, 4, 5).</p>
   <p>S: Children should be able to subitize the number of blocks on the board.</p>
   <p>DAY 2</p>
   <p>V: Children should be able to count 1 - 10 verbally.</p>
   <p>O: Children should be able to count balls.</p>
   <p>O: Children should be able to count blocks (3, 5, 7, 9).</p>
   <p>S: Children should be able to subitize the number of fingers.</p>
   <p>S: Children should be able to subitize the number of blocks on the board.</p>
   <p>DAY 3</p>
   <p>V: Children should be able to count 1 - 10 verbally.</p>
   <p>V: Children should be able to jump the number shown with the teacher’s fingers.</p>
   <p>O: Children should be able to place the same number of blocks.</p>
   <p>S: Children should be able to subitize the number of apples on the cards.</p>
   <p>DAY 4</p>
   <p>V: Children should be able to count 1 - 10 verbally.</p>
   <p>V: Children should be able to count to 10 while lifting a balloon.</p>
   <p>O: Children should be able to place the correct number of blocks in a 10 frame.</p>
   <p>S: Children should be able to subitize the number of dots on the cards.</p>
   <p>DAY 5</p>
   <p>V: Children should be able to count 1 - 10 verbally.</p>
   <p>V: Children should be able to count backwards from 5 to 1.</p>
   <p>O: Children should be able to count the number of blocks while building a tower.</p>
   <p>S: Children should be able to identify the cards with the correct numbers of objects on them.</p>
   <p>Week 2</p>
   <p>DAY 6</p>
   <p>V: Children should be able to count 1 - 20 verbally.</p>
   <p>V: Children should be able to jump as many times as the teacher claps.</p>
   <p>S: Children should be able to subitize the number of fingers.</p>
   <p>S: Children should be able to find cards with the correct number of dots.</p>
   <p>DAY 7</p>
   <p>V: Children should be able to count 1 - 20 verbally.</p>
   <p>O: Children should be able to count the number of bottles they knock out.</p>
   <p>S: Children should be able to find pairs of cards.</p>
   <p>DAY 8</p>
   <p>V: Children should be able to count 1 - 20 verbally.</p>
   <p>V: Children should be able to count backwards from 5 to 1.</p>
   <p>O: Children should be able to place the same number of blocks as the teacher shows with the blocks on the board.</p>
   <p>S: Children should be able to move an object forward as many times as the number a die shows.</p>
   <p>DAY 9</p>
   <p>V: Children should be able to count 1 - 20 verbally.</p>
   <p>V: Children should be able to count backwards from 5 to 1.</p>
   <p>O: Children should be able to put up as many fingers as the number the teacher tells.</p>
   <p>S: Children should be able to match cards with the same number of dots.</p>
   <p>DAY 10</p>
   <p>V: Children should be able to count 1 - 20 verbally.</p>
   <p>V: Children should be able to count backwards from 10 to 1.</p>
   <p>S: Children should be able to subitize the number of dots on the cards.</p>
   <p>S: Children should be able to move forward as many times as the cards show with dots on them.</p>
  </sec>
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