SQL-DDL=Data Definition Language, this means that you can change the structure of a table with "simple" SQL statements. You should find code examples on the net or in professional books about ACCESS.
Important: these SQL statements can not be created in the Query Window!
Updating your backend might become necessary if you realize that a certain table/field/query/relationship... has to be modified, deleted or added.
Concerning the VBA question: some code will definitely not work in a network environment.
Attention: did you integrate a special error trapping for lock conflicts? This is EXTREMELY IMPORTANT in a network environment especially in ACCESS 2000 (4kB locking area).