Victoria A. Miller, PhD, is an Assistant Professor of Anesthesiology and Critical Care at the Perelman School of Medicine at the University of Pennsylvania and a pediatric psychologist at CHOP. Dr. Miller currently serves as an Associate Editor for the American Journal of Bioethics: Primary Research and on the Editorial Board for the Journal of Pediatric Psychology. Clinically, she sees children and families from the Cystic Fibrosis Center for outpatient assessment and therapy.
Dr. Miller conducts developmentally focused research that investigates child and family decision making about health-related issues. One focus area is 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 autonomy and competence develop. Dr. Miller completed a K23 from NICHD to develop a measure of involvement in decision making in children and adolescents with cystic fibrosis, type 1 diabetes, or asthma. Her current research, funded by an R01 grant from NICHD, is a 5-year, longitudinal study which will determine the developmental mechanisms, predictors, and outcomes (e.g., treatment adherence and responsibility) of the decision making of youth with cystic fibrosis or type 1 diabetes.
Her second area of research is pediatric bioethics. Past projects have included a study examining clinician-parent communication during informed consent for the treatment of pediatric leukemia, a qualitative analysis of child and parent perceptions of their roles in research decisions, and an instrument development study to measure the perception of voluntariness in parents making research or treatment decisions for their seriously ill children. Dr. Miller is a co- investigator on a prospective cohort study involving children with life-threatening complex chronic conditions and their parents, examining the process of decision making and the impact of hopefulness, positive and negative affect, and the child’s illness trajectory. Dr. Miller’s next study in the area of pediatric ethics will examine the potential benefits of children’s involvement in decisions about clinical trial enrollment.
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