# Chukka Auchaffi' Natana: The Weaving Healthy Families Program to Promote Wellness and Resilience and Prevent Alcohol and Other Drug Abuse and Violence

> **NIH NIH R01** · TULANE UNIVERSITY OF LOUISIANA · 2020 · $204,525

## Abstract

Project Summary
Alcohol and other drug (AOD) abuse and family violence are secondary health effects of COVID-19 and risk
factors for the Native American (NA) health disparities that drive mortality rates. Given the gap in culturally-
grounded programs to address these secondary effects of COVID-19—AOD abuse and violence in families—
there is a critical need to test the efficacy of digitally enhanced and sustainable community-based
interventions. The long-term goal of the parent research is to promote health and wellness, while preventing
and reducing AOD abuse and violence in NA families. The supplement will extend this to address the
secondary health effects of COVID-19 promoting access, sustainability, and engagement with a digitally
assisted intervention. Using community-based participatory research methods (CBPR), the overall objectives
of the proposed parent award are to use a stepped-wedge trial design (SWTD) to test the efficacy of the
community-based, “Weaving Healthy Families program (WHF)”, which will prevent, reduce, and postpone the
secondary health effects of COVID-19, namely AOD use and violence in families while promoting resilience
and wellness (including mental health) among NA adults and youth. Objective 1 of the Supplement is to
examine the secondary health effects of COVID-19, namely AOD abuse, IPV, as well as family functioning,
and mental/physical health. Our working hypothesis is that the greater stress imposed by COVID-19 will
worsen AOD abuse, IPV, and family conflict, but the WHF program will ameliorate these secondary health
effects. We continue to use the parent grant's SWTD where groups (i.e. 175 MBCI families) are randomly
assigned the order in which they receive the intervention. We examine the sex differences for COVID-19, using
sex as a moderator to understand whether and how sex moderates the secondary health effects of COVID-19
and the differential effect of the WHF program by sex. We also integrate the explanatory sequential mixed-
methods design to evaluate socio-behavioral impacts of COVID-19 through 30-50 qualitative interviews with
female heads of household. Objective 2 of the Supplement is to evaluate the sustainability and feasibility of
the WHF program with the inclusion of the mHealth component through the use of SMS text messaging to
enhance the reach, access, engagement, efficiency, quality, and sustainability of the adapted evidence-based
intervention. Our working hypothesis is that the inclusion of SMS text messages for survey and session
reminders, engagement, and psychoeducation during and after the WHF program will improve the reach,
access, engagement, efficiency, quality, and sustainability of the program. We use the parent grant's CFIR and
the explanatory sequential mixed-methods design to evaluate the impact of qualitative and quantitative
engagement methods enhanced with SMS text messaging. This research is well-matched to the supplement
as the digitally enhanced WHF program directly address...

## Key facts

- **NIH application ID:** 10214727
- **Project number:** 3R01AA028201-01S1
- **Recipient organization:** TULANE UNIVERSITY OF LOUISIANA
- **Principal Investigator:** Catherine E O'Connor
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $204,525
- **Award type:** 3
- **Project period:** 2020-05-15 → 2025-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10214727

## Citation

> US National Institutes of Health, RePORTER application 10214727, Chukka Auchaffi' Natana: The Weaving Healthy Families Program to Promote Wellness and Resilience and Prevent Alcohol and Other Drug Abuse and Violence (3R01AA028201-01S1). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10214727. Licensed CC0.

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