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A systematic literature search was conducted in June 2024 using PubMed, Web of Science, Scopus, and ACM Digital Library. Eligible studies were empirical and published in English between January 2010 and May 2024. Covidence software facilitated screening and data extraction, adhering to PRISMA-ScR guidelines.\u00a0The screening process finally yielded 20 studies. Extracted data\u00a0from these selected studies included interventions, participant demographics, technology types, sample sizes, study designs and locations, technology acceptance measures, key outcomes, and methodological limitations. A narrative synthesis approach was used for analysis, revealing four key findings: (1) overall positive attitudes of older adults towards DH acceptance; (2) the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) are the most frequently used standard frameworks for evaluating technology acceptance; (3) the key facilitators of technology acceptance include <jats:italic>perceived usefulness<\/jats:italic>, <jats:italic>ease of use<\/jats:italic>, <jats:italic>social influence<\/jats:italic>, and <jats:italic>digital<\/jats:italic> or <jats:italic>e-health literacy<\/jats:italic>, while barriers involve <jats:italic>technical challenges<\/jats:italic>, <jats:italic>usability issues<\/jats:italic>, and <jats:italic>privacy concerns<\/jats:italic>; (4) the acceptance of AI-based CAs for NCD management among older adults remains inadequately evaluated, possibly due to limited adaptation of established frameworks to specific healthcare contexts and technology innovations. This review significantly contributes to the DH field by providing a comprehensive analysis of technology acceptance for NCD management among older adults, extending beyond feasibility and usability. The findings offer stakeholders valuable insights into how to better integrate these technologies to improve health outcomes and quality of life for older adults.  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