The purpose of this study was to develop and test a senior technology acceptance model (STAM) aimed at understanding the acceptance of gerontechnology by older Hong Kong Chinese people. The proposed STAM extended previous technology acceptance models and theories by adding age-related health and ability characteristics of older people. The proposed STAM was empirically tested using a cross-sectional questionnaire survey with a sample of 1012 seniors aged 55 and over in Hong Kong. The result showed that STAM was strongly supported and could explain 68% of the variance in the use of gerontechnology. For older Hong Kong Chinese, individual attributes, which include age, gender, education, gerontechnology self-efficacy and anxiety, and health and ability characteristics, as well as facilitating conditions explicitly and directly affected technology acceptance. These were better predictors of gerontechnology usage behaviour (UB) than the conventionally used attitudinal factors (usefulness and ease of use).Practitioner Summary: Previous studies have not given much consideration to age-related health and associated abilities when examining acceptance of technology by the ageing population. By encompassing conventional technology acceptance constructs together with age-related health and ability characteristics, the present study was able to identify more factors affecting gerontechnology acceptance by older Hong Kong Chinese. [Copyright of Ergonomics is the property of Taylor & Francis. Full article may be available at the publisher's website: http://dx.doi.org/10.1080/00140139.2014.895855]