Scholars have claimed that artificial intelligence can be used in education to transform learning. However, there is insufficient evidence on whether intelligent tutoring systems (ITSs), a representative form of artificial intelligence in education, has transformed the teaching and learning of mathematics. To fill this gap, this systematic review was conducted to examine empirical studies from 2003 to 2023 that used ITSs in mathematics education. Technology integration was coded using the substitution, augmentation, modification, redefinition (SAMR) model, which was extended to suit ITSs in a mathematics education context. How different contexts and teacher roles are intertwined with SAMR levels were examined. The results show that while ITSs in mathematics education primarily augmented existing learning, recent ITS studies have transformed students’ learning experiences. ITSs were most commonly applied at the elementary school level, and most ITS studies focused on the areas of number and arithmetic, algebra, and geometry. The level of SAMR varied depending on the research purpose, and ITS studies in mathematics education were mainly conducted in a way that minimized teacher intervention. The results of this study suggest that the affordance of an ITS, the educational context, and the teacher’s role should be considered simultaneously to demonstrate the transformative power of ITSs in mathematics education.
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