Victoria A. Miller, PhD

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Associate Professor of Pediatrics at the Children's Hospital of Philadelphia
Department: Pediatrics

Contact information
The Children's Hospital of Philadelphia
Main Building, Suite 11NW10
34th Street and Civic Center Boulevard
Philadelphia, PA 19104
Office: 267-426-5259
BA (Psychology and Biomedical Ethics)
Brown University, 1997.
MA (Clinical Psychology (specialization in Child/Pediatric))
Case Western Reserve University, 2002.
PhD (Clinical Psychology (specialization in Child/Pediatric))
Case Western Reserve University, 2005.
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Description of Research Expertise

My overall goal is to conduct developmentally focused research that will inform questions related to child and family decision making about health-related issues.

One area of research has focused on independent self-management of chronic illness, with a particular focus on the development of decision making autonomy and competence. This line of research has underscored that the parent-child relationship is an important context in which decision making independence and competence develop. My current study is an R01-funded longitudinal study to determine the developmental mechanisms, predictors, and outcomes (e.g., treatment adherence and responsibility) of children’s decision making involvement, in children and adolescents with cystic fibrosis or type 1 diabetes.

The second area of research has focused on informed consent and assent in pediatric medical settings. I recently received funding from NIH to examine the potential benefits of children’s involvement in decisions about medical research decisions. I am also a co-investigator on two other studies in this area. One is a prospective cohort study that is following children with life-threatening chronic conditions and their parents, examining the process of decision making and the impact of hopeful patterns of thought, positive and negative affect, and the child’s illness trajectory (PI: Chris Feudtner). The second is a sub-project of a U01 grant (PI: Krantz) to examine informed consent and assent and return of results in the context of genomic sequencing in pediatric settings (PI of sub-project: Bernhardt).

Description of Clinical Expertise

Clinically, I provide consultation and treatment to children and adolescents with chronic illnesses (e.g., cancer; cystic fibrosis) and their families, with a focus on improving coping and adaptation, decreasing distress and family conflict related to the illness, and increasing treatment adherence. I utilize both family therapy and cognitive-behavioral techniques in my work with children and families.

Selected Publications

Miller, V.A., Xiao, R., & Willi, S. : Correlates of CGM use trajectories in children and adolescents with type 1 diabetes. Diabetes Technology & Therapeutics Page: doi: 10.1089/dia.2020.0668, 2021.

Dalembert, G., Samba, I., Miller, V.A., Ford, C.A., & Fiks, A.G. : Perspectives of urban adolescent black males and their parents on well care. Academic Pediatrics 21(2): 336-343, 2021.

Agarwal, S., Crespo-Ramos, G., Long, J.A., & Miller, V.A.: “I didn’t really have a choice”: Qualitative analysis of racial-ethnic disparities in diabetes technology use among young adults with type 1 diabetes. Diabetes Technology & Therapeutics Page:, 2021.

Friedrich, E., Robles, R., Silva, K., Fisher-Thiel, M., Ford, C.A., and Miller, V.A.: Feasibility and acceptability of a novel primary care-based intervention to promote parent-teen communication about teen strengths. Journal of Primary Prevention 42(2): 163-181 2021.

Boyden, J.Y., Hill, D.L., Carroll, K.W., Morrison, W.E., Miller, V.A., Feudtner, C.: The association of perceived social support with anxiety over time in parents of children with serious illnesses. Journal of Palliative Medicine 23(4): 527-534, 2020.

Henderson, B.R., Flaherty, C.M., Floyd, G.C., You, J., Xiao, R., Bryant-Stephens, T.C., Miller, V.A., Feudtner, C., Kenyon, C.C. : The tailored adherence incentives for childhood asthma medications randomized trial: A research protocol for children with high-risk asthma. JMIR Research Protocols 9(7): e16711, 2020.

Miller, V.A., Xiao, R., Slick, N. Feudtner, C., & Willi, S.: Youth involvement in the decision to start continuous glucose monitoring (CGM) predicts subsequent CGM use. Diabetes Care Page:, 2020.

Silva, K. & Miller, V.A.: Does self-efficacy mediate the link between impulse control and diabetes adherence from late childhood to late adolescence? A longitudinal mediation analysis. Journal of Pediatric Psychology 45(4): 445-453, 2020.

Silva, K., Robles, R., Friedrich, E., Fisher-Thiel, M., Ford, C.A., & Miller, V.A. : Stereotyped beliefs about adolescents and parent and teen well-being: The role of parent-teen communication. Journal of Early Adolescence Page:, 2020.

Miller, V.A., Silva, K., Friedrich, E., Robles, R., & Ford, C.A. : Efficacy of a primary care-based intervention to promote parent-teen communication and well-being: A randomized controlled trial. Journal of Pediatrics 220: 200-206.e2. 2020.

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Last updated: 04/02/2021
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