From a teacher's perspective our competition is tough. Passing out a handout of 30 problems that are all in a format of 534x25= is not as stimulating in the students' eyes as playing games such as Grand Theft Auto and Resident Evil. Granted, that will always be a tough uphill battle for math to win out over most video games, but the point is, students today are much more immersed in technology than ever before. So even if you need to pass out a math worksheet to review concepts and formulas, it will greatly benefit your cause if you design the worksheet to be as stimulating as possible. Therefore creativity is a must for worksheets to be successful. Regardless if you are trying to review math, science, reading, writing, health, or social studies, your goal should always be to try and create something that will generate desire in the students to actually want to do it. If you can do this, the battle is practically over already. For example, since I want to make sure my students get accustomed to reviewing the various math concepts and standards we've learned all year, I have them practice regularly. I want them to get to a point where they are so familiar with grade level math content, that solving these types of problems becomes automatic.
Engagement entails much more than rote repetition of a procedure. Math worksheets tend to present very similar problem types over and over, leading to mundane practice of disassociated skills. For students who understand the material and successfully complete an assignment, another worksheet becomes meaningless. On the other hand, for the students who don't understand the material, an alternative method of instruction is what's needed. Another worksheet simply adds to the student's frustration, or worse, contributes to a belief that "I'll never understand math." A cute image or a "fill_in_the_blanks" riddle does nothing to increase engagement or learning (and let's face it, those riddles are not funny!). Instead, teachers need to increase engagement by providing students with exercises in which they discover patterns and relationships, solve problems, or think creatively about math relationships.