Nomalt FAQ contains answer to your backup question, but more importantly this very forum reference contains I think all the answers you look for.
https://discuss.grapheneos.org/?q=install%20apps%20
We had a long discussion about app sources and Aurora in particular, a week or two ago. There's no point in discussing that again.
We also discussed backups and Seedvault in particular, many times.
If you have further questions, sure, ask away.
There is next to nothing available on Accrescent
yes
Aurora and F-Droid are lesse secure than Play Store
yes
Alternative would be to look for the apks directly from the githubs pages
obtainium? It supports auto-update.