This study aims to explore the key systematic attributes influencing the acceptance of gerontechnology by seniors in response to global aging and rapid technological progress. A meta-analysis was carried out to quantitatively synthesize the results of 25 empirical studies published from 2010 to 2020. After standardized coding and descriptive statistics, as well as tests and analysis of main effects and heterogeneity, publication bias. The following results were obtained: Perceived usefulness and perceived ease of use have a significant positive impact on the user’s attitude and behavioral intention; performance expectancy, effort expectancy, trust, technical performance and subjective norm have a significant positive correlation with the user’s behavioral intention; social influence, facilitating conditions have a positive correlation with the user’s behavioral intention; anxiety has a significant negative correlation to the user’s behavioral intention. The key systematic influencing attributes are classified into three categories: (1) User individual characteristics; (2) product and technical characteristics; and (3) environmental characteristics. This study provides researchers and practitioners with a systematic evidence-based basis to reduce the gap in decision-making for gerontechnology practices.

The neighborhood rough set theory was adopted for attributes reduction and the weight distribution of condition attributes based on the concept of importance level. Smart elderly care coverage rate is low in China. A decisive role in the adoption of smart elderly care is still a problem that needs to be addressed. This study contributes to the adoption of smart elderly care was selected as the decision attribute. The remaining attributes are used as conditional attributes and the multi-level symmetric attribute set for assessing acceptance of smart elderly care. Prior studies are not included smart elderly care adoption attributes in multi-levels; hence, this problem needs to be addressed. The results of this study indicate that the condition attribute of gender has the greatest influence on the decision attribute. The condition attribute of living expenses for smart elderly care has the second largest impact on decision attribute. Children’s support for the elderly decency of the novel elderly care system and the acceptance of non-traditional elderly care methods belong to the primary condition attribute of traditional concept. The result indicates traditional concepts have a certain impact on the adoption of smart elderly care and a condition attribute of residence also has a slight influence on the symmetric decision attribute. The sensitivity analysis shows the insights for uncertainties and provides as a basis for the analysis of the attributes in the smart elderly care service adoption.