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This study explores the use of formative assessment practices by mathematics teachers across high-scoring countries participating in TIMSS 2019. Through Multilevel Path Analysis, it examines the relationship between these practices and secondary students' mathematics achievement and beliefs about mathematics. Findings reveal a consistent correlation between students' mathematical beliefs and achievement across all countries. Formative instructional practices positively influence both student beliefs and achievement universally, while the effectiveness of in-class discussions and other formative assessments varies by country. The research underscores the importance of formative instructional practices in promoting educational equity and suggests a need for better teacher preparation in using coherent formative strategies. This study contributes to our understanding of effective teaching practices in mathematics education across diverse cultural contexts.