Alcohol and other drug (AOD) abuse and family violence were secondary health effects of COVID-19 and risk factors for the Native American (NA) health disparities that drove mortality rates. Given the gap in culturally grounded programs to address these secondary effects of COVID-19—AOD abuse and violence in families—there was a critical need to test the efficacy of digitally enhanced and sustainable community-based interventions. The long-term goal of the parent research was to promote health and wellness, while preventing and reducing AOD abuse and violence in NA families. The supplement extended this goal to address the secondary health effects of COVID-19 by promoting access, sustainability, and engagement with a digitally assisted intervention.

Using community-based participatory research methods (CBPR), the overall objectives of the project were to use a stepped-wedge trial design (SWTD) to test the efficacy of the community-based "Weaving Healthy Families program (WHF)," which aimed to 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.