# 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 · $523,051

## Abstract

Project Summary
Alcohol and other drug (AOD) abuse and family violence are co-occurring risk factors for Native American (NA)
health disparities and are associated with the leading causes of death within this population, such as
cardiovascular disease (CVD) and diabetes. However, extant interventions often fail to holistically promote
resilience, health, and wellness, instead addressing problems in isolation. To our knowledge, there have been
few NA culturally-based and family-focused interventions that enhance family resilience and prevent and
reduce AOD abuse and violence in families. Given the gap in community and culturally-grounded programs to
prevent AOD abuse and violence in families, there is a critical need to test the efficacy of such sustainable
community-based interventions. The long-term goal of this research is to promote health and wellness, while
preventing and reducing AOD abuse and violence in NA families by testing a culturally-relevant and family-
centered intervention for cross-national dissemination. Using community-based participatory research methods
(CBPR), the overall objectives of the proposed research are to use a stepped-wedge trial design (SWTD) to
test the efficacy of a culturally modified intervention that is facilitated by Tribally-based community health
representatives (CHRs) and to use the consolidated framework for implementation research (CFIR) to examine
the barriers and facilitators for intervention sustainability and implementation. Our central hypothesis is that the
community-based, “Weaving Healthy Families program”—a shortened, streamlined, and culturally adapted
version of the Celebrating Families! Program—will reduce and postpone AOD use, decrease and prevent
violence in families, and promote resilience and wellness (including mental health) among NA adults and
youth. This intervention seeks to promote wellness by targeting key behavioral (AOD abuse), mental/emotional
(emotional regulation/anger management, cognitions, and resilience), social and familial (healthy and non-
violent relationships, the family environment, and parenting), cultural (values and traditions), and physical
(nutrition and AOD abuse) factors. We accomplish the stated objectives through these aims: Aim 1: Test the
efficacy of the modified intervention on AOD abuse and violence reduction and resilience
enhancement. Using an open cohort, multiple baseline SWTD and multilevel and longitudinal modeling, we
will test our working hypothesis that the intervention will reduce parental AOD abuse and violence, postpone
youth AOD use, and enhance family members' resilience and wellness. Aim 2: Evaluate the sustainability
and feasibility of the intervention's implementation. We will use the CFIR and a convergent mixed-method
design to evaluate barriers and facilitators to intervention implementation, testing our working hypothesis that
the modified intervention will provide a culturally relevant and feasible model to promote wellness in a
sus...

## Key facts

- **NIH application ID:** 9928705
- **Project number:** 1R01AA028201-01
- **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:** $523,051
- **Award type:** 1
- **Project period:** 2020-05-15 → 2025-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9928705

## Citation

> US National Institutes of Health, RePORTER application 9928705, Chukka Auchaffi’ Natana: The Weaving Healthy Families Program to Promote Wellness and Resilience and Prevent Alcohol and Other Drug Abuse and Violence (1R01AA028201-01). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9928705. Licensed CC0.

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