Regarding film backs, many of my cameras are just one-shot boxes, loaded in the darkroom ahead of time. Or, if small, you can change out the film in a changing bag, while out in the field. I'm only now making a homemade camera that takes conventional film holders. I've also used a Speed Graphic 4x5 with homemade pinhole lensboard. There's lots of options and possibilities here. Many of my cameras have solved the problem of multiple shots by using a falling plate design. I've also cut 8x10 paper into 4" wide strips, taped them together into a long roll of paper and loaded them into a homemade camera that acts like a larger version of a rollfilm camera. The first Kodak cameras operated similar to this, using a roll of paper as fiilm.
Some people make a larger number of small cameras, like soda can cameras or matchbox or film cannister cameras, and take a whole bag full of these preloaded on their photo expeditions.
Keep in mind that with pinhole it is not important nor necessary to maintain a tight tolerance on film plane position relative to the lens. You just don't want the film actually flopping around or moving during the actual exposure. So a loop of painter's masking tape on the back of a negative is often sufficient to keep it in place.
Now, as for your idea of a smaller pinhole aperture, I've found two applications where smaller than the calculated value is actually better:
1) When using paper negatives or other orthochromatic media (like APHS graphic arts film). Any of these emulsions are blue and UV sensitive, so if you changed the wavelength in the standard formulae to around 450-475 nm (where many ortho media have their double peak of sensitivity), you'll get a smaller recommended pinhole size.
2) When the camera will be primarily used for close-up photography, for instance when photographing diorama scenes. Keep in mind that almost all pinhole formulae are assumed to be working with objects at infinity (i.e. parallel light rays); with close-up objects the loss of sharpness by diverging rays is more dominant than diffraction effects. Ignoring diffraction for a moment, but simple ray-tracing can show that if the subject being photographed is at the same distance in front of the pinhole as the film is behind it, then the blurr effect is double the size of the pinhole itself! You can easily get by with a pinhole half the size of what a formulae may recommend simply by shooting close-up objects.
Combining the above two situations, where you are shooting ortho media and close-up subjects, one can certainly use a pinhole size much smaller than what standard formulae recommend, with excellent image quality.
Good luck and post some results.
~Joe