Learners' foundational math skills obtained in the elementary grades profoundly impact their preparation for learning math in the upper grades. However, there is a deficiency in the foundational math skills necessary to be proficient in math and equivalent with their peers at grade level (Burton, 2018). In the elementary classrooms of kindergarten through fifth grade, learners with mathematics difficulties are delayed academically and grapple with maintaining the pace of their peers (Ball, 2018). This study occurred in two phases to ensure that Title I elementary math educators voiced their beliefs, opinions, and concerns on how concrete and virtual manipulatives are utilized. In addition, this study examined the perceived influences of elementary math educators' pedagogies executing manipulatives math materials. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]