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)
Case Western Reserve University, 2002.
PhD (Clinical Psychology)
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. & Jawad, A.J.: Decision making involvement and prediction of adherence in youth with type 1 diabetes: A cohort sequential study Journal of Pediatric Psychology 44(1): 61-71, 2019.

Silva, K. & Miller, V.A.: The role of cognitive and psychosocial maturity in type 1 diabetes management. Journal of Adolescent Health Page:, 2019.

Becker, T.D., Lin, H.C., & Miller, V.A.: A pilot study of observed physician-parent-child communication and child satisfaction in a gastroenterology clinic. Patient Preference and Adherence Page:, 2018.

Hill, D.L., Nathanson, P., Carroll, K.W., Schall, T., Miller, V.A., and Feudtner, C.: Changes in hopes for seriously ill children: A 20-month cohort study. Pediatrics 141(4): pii: e20173549, 2018.

Miller, V.A., Friedrich, E.A., Garcia-Espana, J.F., Mirman, J.H, & Ford, C.A.: Adolescents spending time alone with pediatricians during routine visits: Perspectives of parents in a primary care clinic. Journal of Adolescent Health 63: 280-285, 2018.

Miller, V.A., Werner-Lin, A., Walser, S.A., Biswas, S., & Bernhardt, B.: An observational study of children’s involvement in informed consent for exome sequencing research. Journal of Empirical Research on Human Research Ethics 12(1): 6-13, 2017.

Miller, V.A., Feudtner, C., & Jawad, A.F. : Children’s decision making involvement about research participation: Associations with perceived fairness and self-efficacy. Journal of Empirical Research on Human Research Ethics 12(2): 87-96, 2017.

Walser, S.A., Werner-Lin, A., Mueller, R., Miller, V.A., Biswas, S., & Bernhardt, B. : How do providers discuss the results of pediatric exome sequencing with families? Personalized Medicine 14(5): 409-422, 2017.

Dhar, C.P., Kaflay, D., Dowshen, N., Miller, V.A., & Yun, K. : Attitudes and beliefs pertaining to sexual and reproductive health among unmarried, female Bhutanese refugee youth in Philadelphia. Journal of Adolescent Health 61(6): 791-794, 2017.

Adams, S.A., Leach, M.C., Feudtner, C., Miller, V.A., & Kenyon, C.C. : Automated adherence reminders for high risk children with asthma: Research protocol. JMIR Research Protocols 6(3): e48, 2017.

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Last updated: 01/17/2019
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