I tutored some adult basic education for a bit...helping people get their HSE/GED. Some of these people had tried to pass the pretest many times and were stuck at fractions. Over and over they failed the tests. I kept hearing "I just can't get this" or "It makes no sense". One of the other TA's and I were discussing it and we realized that a lot of these people were people who had "been around drugs" in their life. So we decided to handle things this way. We went to them with a problem like "5/8 + 1/4"...to which they would respond "I don't know"...then we said "You have bought weed before right?" "yes" is the response. Well...if you have 7/8 of weed and you add another quarter ounce what do you have. Every time...the got it immediately. The teachers came back to us and asked what we had done differently...we explained. They said they really didn't approve but it was working.
It is all about relating things and explaining in a way that can be easily referenced in your mind.
By the way...several of these people who could not pass the TABE tests at the time went on to get their GED's because of that one little step with fractions.